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子宫粘连又称Asherman氏综合征,或子宫内膜硬化等,往往在各种流产、产后或胎盆残留刮宫后发生,目前已引起国内外重视。过去对吸宫或刮宫手术可能引起的并发症比较熟悉和重视,而对子宫粘连认识不足,临床上常有误诊。现将本症的诊断和处理综述如下: 一、发病率:经常作产后、流产后刮宫术或人工流产刮宫术的地区,Asherman综合征的发病率较高,特别是产后刮宫的病例,其次为流产后刮宫,诊断性刮宫最低。Eriksen报道产后2~4周内手术,发病率最高,产后48小时内手术较为少发生。
Uterine adhesions, also known as Asherman’s syndrome, or endometrial sclerosis, etc., often in a variety of abortion, postpartum or residual residual curettage occurred after the fetus, has attracted domestic and foreign attention. In the past on the suction or curettage surgery may cause complications more familiar with and attention, and lack of awareness of uterine adhesions, clinically misdiagnosed. Now the diagnosis and treatment of this disease are summarized as follows: First, the incidence: Often postpartum, abortion curettage or artificial abortion curettage area, the incidence of Asherman syndrome is higher, especially in cases of postpartum curettage, followed by After the abortion curettage, the lowest curettage curettage. Eriksen reported that surgery within 2 to 4 weeks postpartum, the highest incidence, surgery within 48 hours postpartum less frequent.