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KMID : 0358420120550100707
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Korean Journal of Obstetrics and Gynecology
2012 Volume.55 No. 10 p.707 ~ p.712
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Factors affecting reproductive outcome of hysteroscopic adhesiolysis for intrauterine adhesion: Live-birth rate after surgery
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Han Woo-Suk
Kim Min-Kyoung
Im Seung-Yeon
Park Won-Il
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Abstract
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Objective: The purpose of this study is to assess the impact of various factors of hysteroscopic lysis of intrauterine adhesion on live-birth rate after surgery.
Methods: Medical records of 54 patients suffering from infertility or recurrent spontaneous abortion were retrospectively analyzed. The independent variables were degree of intrauterine adhesion, surgical technique, use of intrauterine Foley catheter, insertion of intrauterine device, and dose of postoperative estradiol. Multivariate analysis as well as univariate analysis was performed.
Results: Among the 54 patients, 17 patients gave live-birth. The degree of intrauterine adhesion was found to be a sole factor affecting the live-birth rate by univariate and multivariate analysis. The mechanical dissection with scissors had been resulted a higher live-birth rate against resectoscopic electrosurgery, but the difference was not statistically significant.
Conclusion: The degree of intrauterine adhesion is the most important factor affecting the live-birth. The uses of intrauterine Foley catheter, insertion of intrauterine device and dose of postoperative estradiol have little impact.
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KEYWORD
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Asherman’s syndrome, Adhesiolysis, Hysteroscopy, Reproductive outcome
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