Cenksoy Pinar Ozcan, Ficicioglu Cem, Yesiladali Mert, Kizilkale Ozge
Department of Obstetrics and Gynecology, Yeditepe University, 34752 Istanbul, Turkey.
Case Rep Obstet Gynecol. 2013;2013:450658. doi: 10.1155/2013/450658. Epub 2013 Jun 6.
Intrauterine adhesions (IUAs) frequently occur as a result of trauma to the basal layer of endometrium following pregnancy-related curettage such as incomplete abortion (33,3%), postpartum hemorrhage (37,5%), and elective abortion (8,3%). Hysterotomy, myomectomy, Cesarean section, hysteroscopic procedures, such as resection of submucosal leiomyomata or uterine septae, and endometrial ablation are less common etiologic factors resulting in IUA formation. Patients with Asherman's syndrome usually present with menstrual disturbances, infertility, or recurrent pregnancy loss. A successful treatment of infertility could be achieved by restoration of the uterine cavity, prevention of IUA reformation, and promotion of healing process. We presented the diagnosis and management of a case that suffers from menstrual disturbances and secondary infertility resulted from IUA formation developed after Cesarean section.
宫腔粘连（IUAs）常因妊娠相关刮宫术导致子宫内膜基底层受损而发生，如不全流产（33.3%）、产后出血（37.5%）和选择性流产（8.3%）。子宫切开术、子宫肌瘤切除术、剖宫产术、宫腔镜手术，如黏膜下肌瘤或子宫纵隔切除术，以及子宫内膜消融术是导致宫腔粘连形成的较不常见病因。患有阿谢曼综合征的患者通常表现为月经紊乱、不孕或反复流产。通过恢复子宫腔、预防宫腔粘连复发和促进愈合过程，可以成功治疗不孕。我们介绍了一例因剖宫产术后发生宫腔粘连而出现月经紊乱和继发性不孕病例的诊断和治疗。
