چاپ صفحه |  صفحه نخست سامانه |  نویسندگان |  اطلاعات تفضیلی |  دانلود مقاله | دانشگاه علوم پزشکی تبریز |
| نویسنده | نفر چندم مقاله |
|---|---|
| فاطمه طباطبایی | اول |
| عنوان | متن |
|---|---|
| کلمات کلیدی | Key words Hysteroscopy, IUAs, Pregnancy, Adhesion |
| خلاصه مقاله | Author: Fatemeh Tabatabaei *(MD)1,2,3 1) Women’s Reproductive Health Research Center, Al‑Zahra Hospital, Tabriz University of Medical Sciences, Tabriz, Iran 2) Department of Obstetrics and Gynecology, Division of Gynecologic Laparoscopic Surgeries, Talegani Hospital, Tabriz University of Medical Sciences, Tabriz, Iran, 3) Endometriosis Research Center, Iranian Society of Minimally Invasive Gynecology, Iran University of Medical Sciences, Tehran, Iran. E-mail: drtabatabaeigyn@gmail.com ORCID ID: 0000-0001-8767-6764 Mobile: 09143092844 g Ashermans’ syndrome Intrauterine adhesions (IUAs) are bands of fibrous tissue that form in the endometrial cavity, often in response to a uterine procedure. IUAs appear to result from trauma to the basalis layer of the endometrium. The basalis layer appears to be most susceptible to damage in the first four postpartum or postabortal weeks. Abnormal uterine bleeding, Infertility, Cyclic pelvic pain or dysmenorrhea, Recurrent pregnancy loss are the typical symptoms associated with IUAs. History, physical examination, ultrasound evaluation of uterine cavity, estrogen/progestin withdrawal test are the diagnostic approaches encountering the patients in suspicion of IUAs. However, hysteroscopy is the gold standard diagnostic evaluation method with the opportunity of concurrent treatment. he ASRM classification system is based upon the extent of uterine cavity involvement (<1/3, 1/3 to 2/3, >2/3), the type of adhesion seen at the time of hysteroscopy (filmy, filmy and dense, dense), and the patient's menstrual pattern (normal, hypomenorrhea, amenorrhea). The European Society for Hysteroscopy system grades adhesions based on the operator's ability to disrupt them with the hysteroscope and visualize the tubal ostia as well as the amount of scarring of the uterine cavity. Clinical challenges include primary prevention of adhesions, surgical removal, and prevention of recurrent disease. Primary prevention of IUAs include avoidance of intrauterine procedures or infections. Proper Surgical technique with using of Semisolid (gel) adhesion barriers are the key of prevention of recurrent adhesions. Combined estrogen-progestin hormonal therapy, Intrauterine catheter in conjunction with repeat hysteroscopy is the preferred technique to prevent and also resection of recurrent adhesion bands. Key words Hysteroscopy, IUAs, Pregnancy, Adhesion |
| نام فایل | تاریخ درج فایل | اندازه فایل | دانلود |
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| 20231009_065031.jpg | 1402/07/20 | 2395908 | دانلود |
| Intrauterine adhesions.docx | 1402/07/20 | 21691 | دانلود |
