Loddo Alessandro, Kaza Leon, Saponara Stefania
Division of Gynecology and Obstetrics, Department of Surgical Sciences, University of Cagliari, Cagliari, Italy.
Department of Obstetrics and Gynecology, Lezhë Regional Hospital, Lezhë, Albania.
Gynecol Minim Invasive Ther. 2025 Jan 8;14(1):8-13. doi: 10.4103/gmit.gmit_85_24. eCollection 2025 Jan-Mar.
Intrauterine adhesions (IUAs) and Asherman's syndrome (AS) have been recognized medical conditions since the late 19 and mid-20 centuries. Multiple classification systems have been proposed to better understand their severity and implications. This article aims to provide a comprehensive overview of the existing classifications for IUAs and introduces the Loddo scoring system, a novel approach for classifying these conditions. The Loddo scoring system is unique in amalgamating the strengths of previous classifications while emphasizing the importance of ultrasonographic endometrial thickness. This new system integrates various clinical parameters, offering a holistic representation of IUAs in clinical presentation and underlying structural changes. The Loddo scoring system presents a refined approach to understand and manage IUAs, providing a precise prognosis evaluation. Bridging the diagnostic and therapeutic divide seen in past systems, it offers promise for reshaping the landscape of diagnosis and treatment in women's health. Further research and validation are essential to assess its broad clinical applicability.
自19世纪末和20世纪中叶以来,宫腔粘连(IUAs)和阿谢曼综合征(AS)就已被确认为医学病症。人们提出了多种分类系统,以更好地了解其严重程度和影响。本文旨在全面概述现有的宫腔粘连分类方法,并介绍Loddo评分系统,这是一种对这些病症进行分类的新方法。Loddo评分系统的独特之处在于,它融合了先前分类方法的优点,同时强调了超声子宫内膜厚度的重要性。这个新系统整合了各种临床参数,全面呈现了宫腔粘连在临床表现和潜在结构变化方面的情况。Loddo评分系统为理解和管理宫腔粘连提供了一种精细的方法,能进行精确的预后评估。它弥合了过去系统中诊断和治疗之间的差距,有望重塑女性健康领域的诊断和治疗格局。进一步的研究和验证对于评估其广泛的临床适用性至关重要。