A Matched Cohort Study Comparing the Outcome of Intrauterine Adhesiolysis for Asherman's Syndrome After Uterine Artery Embolization or Surgical Trauma

被引:27
|
作者
Song, Dongmei [1 ,2 ]
Liu, Yuhuan [1 ]
Xiao, Yu [1 ]
Li, Tin-Chiu [2 ,3 ]
Zhou, Fengqiong [1 ]
Xia, Enlan [1 ]
机构
[1] Capital Med Univ, Fuxing Hosp, Dept Hysteroscop Ctr, Beijing, Peoples R China
[2] Univ Sheffield, Royal Hallamshire Hosp, Dept Reprod Med & Surg, Sheffield S10 2TN, S Yorkshire, England
[3] Chinese Univ Hong Kong, Dept Obstet & Gynaecol, Hong Kong, Hong Kong, Peoples R China
关键词
Asherman's syndrome; Hysteroscopic adhesiolysis; Pregnancy outcome; Uterine artery embolization; FIBROID EMBOLIZATION; SYMPTOMATIC FIBROIDS; PREGNANCY; HYSTEROSCOPY; ADENOMYOSIS; LEIOMYOMATA; EFFICACY; IMPACT; WOMEN;
D O I
10.1016/j.jmig.2014.04.015
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Study Objective: To compare the outcome of hysteroscopic adhesiolysis in women who had Asherman's syndrome after uterine artery embolization (UAE) with those who had Asherman's syndrome caused by surgical trauma. Design: A retrospective cohort study matched for age and intrauterine adhesion score (Canadian Task Force classification II-2). Setting: A tertiary hysteroscopic center in a teaching hospital. Patients: Nineteen women with Asherman's syndrome after UAE and 57 women with Asherman's syndrome caused by surgical trauma. Interventions: Hysteroscopic adhesiolysis was followed by a second-look hysteroscopy 1 month later. The scoring system proposed by the American Fertility Society was used to evaluate intrauterine adhesion during hysteroscopy. Measurements and Main Results: In the UAE group, only 42.1% of women experienced improvement in menstruation defined as a subjective increase in menstrual flow after surgery, which was significantly lower than that of 86.0% observed in the non-UAE group. In the UAE group, the reduction of the American Fertility Society (AFS) score after intrauterine adhesiolysis was 30%, which was significantly lower than that of 80% in the non-UAE group. The pregnancy rate and live birth rate in the UAE group (5% and 0%, respectively) were significantly lower than the corresponding rates in the non-UAE group (33% and 25%, respectively). Conclusion: The outcome of hysteroscopic adhesiolysis in women with Asherman's syndrome after UAE was worse than in women with Asherman's syndrome caused by surgical trauma. (C) 2014 AAGL. All rights reserved.
引用
收藏
页码:1022 / 1028
页数:7
相关论文
共 31 条
  • [11] HYSTEROSCOPIC ADHESIOLYSIS FOR ASHERMAN'S SYNDROME: LIVE-BIRTH RATE AND FACTORS AFFECTING REPRODUCTIVE OUTCOME AFTER SURGERY.
    Han, W. -S.
    FERTILITY AND STERILITY, 2014, 102 (03) : E298 - E298
  • [12] Ovarian reserve after uterine artery embolization in women with morbidly adherent placenta: A cohort study
    Mohr-Sasson, Aya
    Spira, Maya
    Rahav, Rony
    Manela, Dafna
    Schiff, Eyal
    Mazaki-Tovi, Shali
    Orvieto, Raoul
    Sivan, Eyal
    PLOS ONE, 2018, 13 (11):
  • [13] Outcome of pregnancies after pelvic artery embolization for postpartum hemorrhage: retrospective cohort study
    Poggi, Sarah H.
    Yaeger, Andrew
    Wahdan, Yesmean
    Ghidini, Alessandro
    AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 2015, 213 (04)
  • [14] Treatment failure after uterine artery embolization: Prospective cohort study with multifactorial analysis of possible predictors of long-term outcome
    Scheurig-Muenkler, Christian
    Koesters, Clemens
    Grieser, Christian
    Hamm, Bernd
    Kroencke, Thomas J.
    EUROPEAN JOURNAL OF RADIOLOGY, 2012, 81 (05) : E727 - E731
  • [15] Impact of uterine artery embolization on ovarian function and pregnancy outcome after uterine-fibroids treatment: A prospective study
    Liu, Jing-Lei
    Liang, Zhi-Hui
    Cui, Bao
    Liu, Jian-Yu
    Sun, Li
    WORLD JOURNAL OF CLINICAL CASES, 2024, 12 (15)
  • [16] Synthesis of Cyclodextrin-Based Multifunctional Biocompatible Hydrogels and Their Use in the Prevention of Intrauterine Adhesions (Asherman's Syndrome) after Surgical Injury
    Erden, Busra Aksoy
    Kurus, Meltem
    Turkcuoglu, Ilgin
    Melekoglu, Rauf
    Balcioglu, Sevgi
    Yigitcan, Birgul
    Ates, Burhan
    Koytepe, Suleyman
    ACS OMEGA, 2024, 9 (29): : 31957 - 31973
  • [17] Comparing the efficacy and pregnancy outcome of intrauterine balloon and intrauterine contraceptive device in the prevention of adhesion reformation after hysteroscopic adhesiolysis in infertile women: a prospective, randomized, controlled trial study
    Ding, Haixia
    Zhang, Honghong
    Qiao, Rui
    Sun, Ningxia
    Ji, Yixuan
    Pang, Wenjuan
    Li, Wen
    Zhang, Qing
    REPRODUCTIVE BIOLOGY AND ENDOCRINOLOGY, 2024, 22 (01)
  • [18] Long-Term Outcome After Carotid Artery Stenting A Population-Based Matched Cohort Study
    Jonsson, Magnus
    Lindstrom, David
    Gillgren, Peter
    Wanhainen, Anders
    Malmstedt, Jonas
    STROKE, 2016, 47 (08) : 2083 - 2089
  • [19] Outcome of pregnancies after uterine artery embolization (UAE) for post-partum hemorrhage (PPH): a case-control study
    Poggi, Sarah
    Ghidini, Alessandro
    Yaeger, Andrew
    Van Breda, Arletta
    Wahdan, Yesmean
    AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 2015, 212 (01) : S270 - S271
  • [20] Analysis of the Reproductive Outcome of Patients with Cesarean Scar Pregnancy Treated by High-Intensity Focused Ultrasound and Uterine Artery Embolization: A Retrospective Cohort Study
    Chen, Lixing
    Xiao, Songshu
    Zhu, Xiaogang
    He, Sili
    Xue, Min
    JOURNAL OF MINIMALLY INVASIVE GYNECOLOGY, 2019, 26 (05) : 883 - 890