Assessment of Risk Factors of Intrauterine Adhesions in Patients With Induced Abortion and the Curative Effect of Hysteroscopic Surgery

ABSTRACT

Objective: To explore the risk factors for intrauterine adhesions in patients with artificial abortion and clinical efficacy of hysteroscopic dissection. Methods: 1500 patients undergoing artificial abortion between January 2014 and June 2015 were enrolled into this study. The patients were divided into two groups with or without intrauterine adhesions. Univariate and Multiple logistic regression were conducted to assess the effects of multiple factors on the development of intrauterine adhesions following induced abortion. Results: The incidence rate for intrauterine adhesions following induced abortion is 17.0%. Univariate showed that preoperative inflammation, multiple pregnancies and suction evacuation time are the influence risk factors of intrauterine adhesions. Multiple logistic regression demonstrates that multiple pregnancies, high intrauterine negative pressure, and long suction evacuation time are independent risk factors for the development of intrauterine adhesions following induced abortion. Additionally, intrauterine adhesions were observed in 105 mild, 80 moderate, and 70 severe cases. The cure rates for these three categories of intrauterine adhesions by hysteroscopic surgery were 100.0%, 93.8%, and 85.7%, respectively. Conclusion: Multiple pregnancies, high negative pressure suction evacuation and long suction evacuation time are independent risk factors for the development of intrauterine adhesions following induced abortions. Hysteroscopic surgery substantially improves the clinical outcomes of intrauterine adhesions.

Keywords::

• abortion
• intrauterine adhesions
• risk factors
• hysteroscopy
• adhesions dissection
• Inflammation

This article refers to:

Commentary on “Assessment of Risk Factors of Intrauterine Adhesions in Patients with Induced Abortion and the Curative Effect of Hysteroscopic Surgery”

CONTRIBUTORSHIP STATEMENT

Xiaoliang Mo, study design, data collections, data analysis, writing

Xiaoli Jiang, data analysis

Guirong Qin, data collections, data analysis

Zhoulin Zhou, study design

Competing Interests

No conflict of interest exits in the submission of this manuscript, and manuscript is approved by all authors for publication.

FUNDING

This study was supported by the grant awarded by Guangxi Health Department (A basic and clinical research for new contraceptives in gynecological benign disease, Guangxi health department general scientific research project, Z2015643).

DISCLOSURE STATEMENT

All authors to include a data sharing statement for original research article.