Uterine adhesions

Introduction Uterine adhesion refers to the narrowing or disappearance of the uterine cavity and cervical canal caused by partial or total adhesion of the anterior and posterior wall of the uterine cavity and the cervical canal due to surgery or case changes. Uterine adhesions can include cervical adhesions and intrauterine adhesions. Uterine cavity adhesion refers to the partial or total adhesion of the anterior and posterior walls of the uterus to the narrowing or disappearance of the uterine cavity. Endometrial adhesions are mainly caused by injury to the basal layer of the endometrium due to surgery or pathological changes, even after inhalation or curettage, endometrial tuberculosis, severe uterine infection, uterine fibroids or laparotomy , can damage the endometrium, intrauterine adhesions. Cervical adhesions, ie, cervical adhesions, are caused by adhesions of the cervical canal mucosa after mechanical damage, resulting in narrowing or atresia of the neck. Cervical adhesions are often caused by chronic cervicitis prolonged unhealed. The flow of people is one of the causes of cervical adhesions. The curettage can also cause cervical adhesions, and cervical erosions are also caused by cervical erosion. Cervical adhesions often manifest as amenorrhea, abdominal pain, infertility and so on.

Cause

1. Because the negative pressure is too high or negative pressure repeatedly enters and exits the cervix and the operation is rough, because the cervical mucosa is thin, it is easy to cause deep damage to form adhesion.

2, the interval between the previous abortion is short, the cervical canal mucosa is not completely repaired and damaged again and adhesions occur.

3, the number of artificial abortion, stimulating the cervix multiple times, so that connective tissue hyperplasia, hard, reduced elasticity, cervical stenosis, and thus more serious adhesion to the cervical lesions.

4, the surgeon's concept of sterility is not strong or premature sexual life after abortion, especially those who are not maternal or unmarried, failed to receive timely birth control measures. Lack of health knowledge, increased infection opportunities, leading to cervical adhesions.

5, acute and chronic genital tube inflammation is not cured, abortion, especially suffering from various vaginitis and severe cervical erosion, so that the inflammation is aggravated or further spread, so that the cervical adhesions. In short, there are many reasons for cervical adhesions, especially the lack of maternal, multiple inhalation and the shorter the interval between the previous ones.

an examination

Related inspection

Hysterosalpingography uterus and attachment examination

1. When the uterine cavity is explored, the uterine cavity is narrow or cannot be penetrated.

2, uterine lipiodol angiography, showing that the uterine cavity is only partially filled or not filled at all.

Differential diagnosis

1. Cervical canal adhesion: refers to the adhesion or contraction of the cervical canal due to mechanical adhesion of the cervical canal mucosa.

2, uterine adhesions: refers to the anterior and posterior wall of the uterine cavity, or all of them adhere to each other, so that the uterine cavity narrows or disappears.

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