Foreste Virginia, Gallo Alessandra, Manzi Alfonso, Riccardi Carla, Carugno Jose, Sardo Attilio Di Spiezio
Department of Neuroscience Reproductive Sciences and Dentistry, School of Medicine, University of Naples Federico II, Naples, Italy.
Department of Public Health, University of Naples Federico II, Naples, Italy.
Gynecol Minim Invasive Ther. 2021 Nov 5;10(4):203-209. doi: 10.4103/GMIT.GMIT_125_20. eCollection 2021 Oct-Dec.
Retained products of conception (RPOC) can occur after early or mid-trimester pregnancy termination and also following vaginal or cesarean delivery. It is frequently associated with continuous vaginal bleeding, pelvic pain, and infection. Late complications include intrauterine adhesions formation and infertility. Conventionally, the management of RPOC has been with blind dilation and suction curettage (D and C); however, hysteroscopic resection of RPOC is a safe and efficient alternative. In this review, we analyze the current available evidence regarding the use of hysteroscopic surgery for the treatment of RPOC comparing outcomes and complications of both traditional curettage and hysteroscopic technique. Data search has been conducted using the following databases MEDLINE, EMBASE, Web of Sciences, Scopus, Clinical Trial. Gov., OVID, and Cochrane Library interrogate all articles related to hysteroscopy and the preserved product of conception, updated through September 2020.
妊娠物残留（RPOC）可发生在孕早期或孕中期终止妊娠后，也可发生在阴道分娩或剖宫产之后。它常伴有持续性阴道出血、盆腔疼痛和感染。晚期并发症包括宫腔粘连形成和不孕。传统上，RPOC的治疗方法是盲目扩张刮宫术（D和C）；然而，宫腔镜下切除RPOC是一种安全有效的替代方法。在本综述中，我们分析了目前关于使用宫腔镜手术治疗RPOC的现有证据，比较了传统刮宫术和宫腔镜技术的疗效及并发症。我们使用以下数据库进行了数据检索：MEDLINE、EMBASE、科学网、Scopus、临床试验.gov、OVID和考科蓝图书馆，检索了所有与宫腔镜检查和妊娠物残留相关的文章，更新至2020年9月。
