Harpham Margaret, Abbott Jason
Royal Hospital for Women, Department of Obstetrics and Gynecology, Sydney, Australia (both authors).
Royal Hospital for Women, Department of Obstetrics and Gynecology, Sydney, Australia (both authors).
J Minim Invasive Gynecol. 2014 Nov-Dec;21(6):1118-20. doi: 10.1016/j.jmig.2014.05.006. Epub 2014 May 24.
Uterine curettage may result in formation of intrauterine adhesions, which can predispose to recurrent miscarriage [1]. Herein is presented a video case report of a 24-year-old woman with recurrent miscarriages and recurrent intrauterine adhesions after treatment of non-progressive pregnancies. Targeted intrauterine pregnancy tissue removal using a hysteroscopic morcellator was performed to reduce the risk of adhesion recurrence. Successful removal of products of conception, without subsequent adhesion formation, and an ongoing viable pregnancy followed. Selective targeted removal of products of conception may offer some advantage to women with a predisposition to recurrent Asherman's syndrome.
刮宫术可能会导致宫腔粘连的形成，这可能会引发复发性流产[1]。本文呈现了一例24岁女性的视频病例报告，该女性在处理不可避免流产后出现复发性流产和复发性宫腔粘连。使用宫腔镜粉碎器进行靶向性宫腔妊娠组织清除，以降低粘连复发的风险。成功清除妊娠产物，未形成后续粘连，随后有一个持续的活胎妊娠。对于易患复发性阿谢曼综合征的女性，选择性靶向清除妊娠产物可能具有一定优势。
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