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Short-term clinical effects of 68 cases of transcervical resection of adhesions

Yan He, Fei Ji, Xiaoshan Zhou, Cailing Ma, Yan Ding

This study aims to investigate the short-term efficacy and safety of Transcervical Resection of Adhesions (TCRA). The data of 68 patients with Intrauterine Adhesion (IUA) treated by TCRA from October 2011 to September 2013 in our hospital were analysed. The intrauterine contraceptive ring was placed after resection, and oestrogen replacement therapy was performed after surgery. After three-month treatment, the uterine recovery and menstrual improvement were examined by the hysteroscopy. The intrauterine adhesions were related to the numbers of intrauterine operations, while the menstrual abnormalities were associated with the intrauterine adhesions. Intraoperative complications occurred in 8 patients. After TCRA, the menstrual abnormalities were improved, and the total efficiency was 91.30%; the improvement rates of amenorrhea, menstrual reduction and menstrual disorder were 86.95%, 94.44% and 100%, respectively. The results of post-TCRA 3 month hysteroscopy revealed that re-adhesion occurred in one case. TCRA is minimally invasive, safe and effective, and could significantly improve menstruation.