Berta I, Smid I, Balogh A, Borsos A, Takács I
Zentralbl Gynakol. 1976;98(8):495-503.
On the basis of 120 cases, the authors discuss the diagnostic problems of the Asherman's syndrome. They propose the accomplishment of hysterography in all cases when amenorrhea, hypomenorrhea, sterility or infertility develops after curettage during gestation period and puerperium. They describe the technical difficulties of X-ray examination, the appraisal of medicine certificates and the problems of differential diagnosis. The diagnosis of intrauterine synechia is usally based on the roentgen examination, but uterine sounding must also be performed, and these findings must be compared with the symptoms.
基于120例病例,作者探讨了阿谢曼综合征的诊断问题。他们建议,对于在妊娠期及产褥期刮宫后出现闭经、月经过少、不育或不孕的所有病例,均应进行子宫输卵管造影。他们描述了X线检查的技术难点、医学证明书的评估以及鉴别诊断问题。子宫内粘连的诊断通常基于X线检查,但也必须进行子宫探察,并将这些结果与症状进行比较。