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子宫粘连是不育的少见原因之一。自Asherman于1948年首次报告此症以来已有许多此类文章发表。Jewelewicz等复习1948～1975年间此类患者妊娠351例的产科并发症,仅137例(39%)足月分娩,胎盘植入发生率为9.4%,前置胎盘0.5%,子宫切除率2.2%。Friedman等报告33例此症有3例发生严重产科并发症,即子宫破裂、袋形子宫及胎盘植入各1例,2例需切除子宫。作者首次报告1例子宫粘连经两次宫腔镜分离术后妊娠31周时
Uterine adhesions are one of the rare causes of infertility. Many such articles have been published since Asherman first reported the disease in 1948. Jewelewicz and colleagues reviewed the obstetric complications of 351 pregnancies in these patients between 1948 and 1975, with only 137 (39%) having term deliveries. The incidence of placenta accreta was 9.4%, placenta previa was 0.5% and hysterectomy was 2.2%. Friedman et al reported 33 cases of this disease, three cases of serious obstetric complications, uterine rupture, uterine pouch and placenta accreta in 1 case, 2 cases required removal of the uterus. The authors first report 1 case of uterine adhesions after two hysteroscopic seizures after 31 weeks of pregnancy