Interventional ultrasound diagnosis and treatment for intrauterine adhesion

Abstract

Objective: The aim of this study was to discuss the method of interventional ultrasound diagnosis and treatment for intrauterine adhesion. Methods: From 1995 to 2002, 94 patients evaluated for infertility, amenorrhea, and periodic abdominal pain underwent interventional ultrasonographic examination, and all patients underwent transcervical resection of adhesion (TCRA) under ultrasound guidance. Results: 93 patients (98.94%) were diagnosed with interuterine adhesion by interventional ultrasound. 91 of 94 patients successfully underwent operative hysteroscopy. In the remaining 3 patients, uteri were perforated. The study followed 69 women treated by TCRA. The symptoms were relieved or improved in 48 patients; 4 of them were later on pregnant and 2 women with normal delivery. The intrauterine device, residual fetal bone, and gestational sac in 19 patients were removed after TCRA. The uterine cavity relapsed into adhesion in 3 patients; 2 of them underwent hysterectomy, which diagnosed adenomyosis, and another one is being followed up. Conclusions: Our study showed that interventional ultrasonography is an effective method in diagnosing and treating intrauterine adhesion.