Intrauterine adhesion after myomectomy. Diagnostics, treatment, prevention

Щукина, Н. А.; Buyanova, S. N.; Babunashvili, E.L.; Kashchuk, M.G.

doi:10.17116/rosakush20212102126

Cited by 4 publications

(1 citation statement)

References 35 publications

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“…IUA seriously affects the physical, mental, and reproductive health of women, makes patients face a heavy psychological and economic burden, and brings many family and social problems. Its diagnosis and treatment has been widely concerned [ 4 , 5 ]. The causes of IUA include dilatation/curettage, postpartum hemorrhage, myomectomy, hysteroscopic surgery, and genital tuberculosis.…”

Section: Introductionmentioning

confidence: 99%

Study on Risk Factors Related to Intrauterine Adhesion Based on Meta-Analysis

2022

Computational and Mathematical Methods in Medicine

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Objective. Intrauterine adhesion (IUA) is a severe complication that occurs following abortion. To evaluate the related risk factors of uterine cavity adhesion by meta-analysis. Methods. The research literature on the influencing factors of patients with intrauterine adhesions published from January 2010 to December 2020 in PubMed, EMBASE, Cochrane Library, web of science, CNKI, Wanfang Data, VIP, and CBM were retrieved by computer. Two evaluators independently screened the literature, extracted the data, and evaluated the treatment according to the inclusion and exclusion criteria and then analyzed it with revman5.3 software. Results. Finally, 12 literatures were included, with a total sample size of 2341 cases. The results of meta-analysis showed that pelvic inflammation ( p = 0.05 ), negative pressure during uterine suction ( p < 0.0001 ), and uterine suction time ( p < 0.00001 ) were the risk factors for uterine cavity adhesion. The combined or and 95% CI of each factor were 2.05 (1.24, 3.38), 125.61 (67.35, 183.87), and 4.52 (4.21, 4.84), respectively. However, the number of pregnancies, the number of curettages, the average number of births, abortion, myomectomy, menstrual abnormalities, and infertility have little impact on the occurrence of intrauterine adhesions ( p > 0.05 ). Conclusion. Pelvic inflammatory disease, negative pressure during uterine suction and uterine suction time are the risk factors leading to uterine cavity adhesion.

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Section: Introductionmentioning

confidence: 99%