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Use of 3D ultrasound in the hysteroscopic management of Asherman syndrome

机译:在芪宫综合征的宫腔镜管理中使用3D超声

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摘要

One of the most challenging clinical conditions that the gynecologist encounters in clinical practice is the management of patients with intrauterine adhesions (IUAs). The presence of IUAs were initially described by Heinrich Fritsch in 1894 ( ). It was not only until 1948 when Joseph Asherman described the association of structural amenorrhea with inactive endometrium due to stenosis of the internal cervical OS. He then published his landmark paper in 1950 entitled “ ” ( ) describing uterine adhesions causing obliteration of the intra-uterine cavity, generating the consequent amenorrhea naming this entity as Asherman’s Syndrome. The term “Asherman’s syndrome” and “intrauterine adhesions” are often used interchangeable to refer to the presence of intrauterine synechiae, although the syndrome requires the association of amenorrhea and infertility in the presence of IUAs. Several other terms such as uterine atresia, endometrial sclerosis and traumatic uterine atrophy are also frequently used to describe this clinical entity ( ).
机译:妇科医生在临床实践中遇到的最具挑战性的临床条件之一是患有宫内粘连(IUA)的患者的管理。 1894()最初由Heinrich Fritsch描述了IuAs的存在。当Joseph Asherman描述由于内部宫颈OS的狭窄,当Joseph Asherman描述了结构闭合症与非活性子宫内膜的关联时,这不仅至1948年。然后,他于1950年公布了他的地标纸,标题为“()描述了子宫内粘连导致子宫内腔的破坏,产生随后的闭经作为asherman的综合症。术语“Asherman的综合征”和“宫内粘连”通常使用可互换的可互换,以参考宫内节脑同步的存在,尽管综合征需要闭经和不孕症在IUA存在下的关联。其他几个术语如子宫休息,子宫内膜硬化和创伤子宫萎缩也经常用于描述该临床实体()。

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