Diagnostic and therapeutic hysteroscopy for traumatic intrauterine adhesion. Clinical analysis of 70 patients.

This paper presents the results of diagnostic and therapeutic hysteroscopy in 70 patients with traumatic intrauterine adhesions. In all the patients, the diagnoses and types of intrauterine adhesions were confirmed by hysteroscopy. In 68 out of the 70 patients (97.14%) intrauterine adhesions were released successfully after 1-3 times of surgery. Of the 64 patients with amenorrhea or hypomenorrhea before treatment, 54 (84.38%) had regular menstruation. In 35 patients who desired to have a child and were followed up more than 6 months after the withdrawal of contraception, 30 (85.71%) had intrauterine pregnancies. Among the 30 patients, 17 had full-term pregnancies, 12 were in progress and 1 had early spontaneous abortion. The postpartum course was uneventful in the 17 patients with term delivery. We conclude that hysteroscopy is of value in the diagnosis and treatment of traumatic intrauterine adhesions.