Department of Obstetrics and Gynecology, Yitzhak Shamir (Assaf Harofe) Medical Center, Be'er Ya'akov, Israel.
Department of Obstetrics and Gynecology, Yitzhak Shamir (Assaf Harofe) Medical Center, Be'er Ya'akov, Israel.
J Obstet Gynaecol Can. 2020 Aug;42(8):953-956. doi: 10.1016/j.jogc.2020.01.020. Epub 2020 May 6.
To investigate the rates of intrauterine adhesion following hysteroscopy for removal of RPOC associated with surgical termination of pregnancy.
We conducted a retrospective cohort study of all cases of removal by hysteroscopy of RPOC associated with surgical termination of pregnancy carried out at the Yitzhak Shamir (Assaf Harofe) Medical Center from January 2013 to December 2018. The rates of postoperative intrauterine adhesion were assessed by follow-up hysteroscopy.
Our study involved 85 cases of removal by hysteroscopy of RPOC associated with surgical termination of pregnancy. The mean size of the RPOC was 1.9 ± 0.9 cm, and the mean time from termination of pregnancy to hysteroscopy was 1.5 ± 0.9 months. Two patients (2.4%) were readmitted for postoperative complications (fever). Postoperative follow-up information was available for 49 cases (57.6%). A total of 47 of these women had a normal uterine cavity (95.9%) while 2 women (4.1%) were diagnosed with mild intrauterine adhesions.
Hysteroscopy for removal of RPOC following surgical termination of pregnancy is associated with low rates of postoperative intrauterine adhesions. Additional studies may determine whether this is the procedure of choice in these cases.
探讨因人工流产术后妊娠物残留（RPOC）而行宫腔镜切除术的患者发生宫腔粘连的比率。
我们对 2013 年 1 月至 2018 年 12 月在伊扎克·沙米尔（Assaf Harofe）医疗中心因人工流产术后 RPOC 而行宫腔镜切除术的所有患者进行了回顾性队列研究。通过随访宫腔镜检查评估术后宫腔粘连的发生率。
我们的研究共涉及 85 例因人工流产术后 RPOC 而行宫腔镜切除术的患者。RPOC 的平均大小为 1.9±0.9cm，终止妊娠至宫腔镜检查的平均时间为 1.5±0.9 个月。2 例（2.4%）患者因术后并发症（发热）再次入院。49 例（57.6%）患者有术后随访信息。这些患者中共有 47 例（95.9%）子宫腔正常，2 例（4.1%）被诊断为轻度宫腔粘连。
因人工流产术后 RPOC 而行宫腔镜切除术与较低的术后宫腔粘连发生率相关。进一步的研究可能会确定在这些情况下该方法是否为首选。
