Evidence map›Paper›PMID 35173868›Full record

ArticleAmerican journal of translational research2022

Effect of hysteroscopic adhesiolysis on recurrence, menstruation and pregnancy outcomes in patients with different degrees of intrauterine adhesions.

Lu Wang, Chen Guo, Huabin Cao

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Article in American journal of translational research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

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4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Lu WangDepartment of Reproductive Health, Jiangxi Maternal and Child Health Hospital Nanchang 330006, Jiangxi, China.
Chen GuoDepartment of Reproductive Health, Jiangxi Maternal and Child Health Hospital Nanchang 330006, Jiangxi, China.
Huabin CaoDepartment of Reproductive Health, Jiangxi Maternal and Child Health Hospital Nanchang 330006, Jiangxi, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo study the recurrence, menstruation, and pregnancy outcome in patients with different degrees of intrauterine adhesions after hysteroscopic adhesiolysis.

methodsFrom February 2017 to January 2020, 300 patients with intrauterine adhesions were recruited in this study. Patients were divided into group A (mild), group B (moderate) and Group C (severe). All patients underwent hysteroscopic adhesion separation. The uterine cavity was re-examined by hysteroscopy 3 months after surgery to evaluate the uterine cavity morphology, the degree and treatment effect of the intrauterine adhesions, menstrual volume, and pregnancy outcomes after 2 years.

resultsCompared to group A, the reconstruction rates of group B and C were lower, and group B was significantly higher than group C. The re-adhesion rate of group C was significantly higher than that of group A and group B, but no significant differences were observed between group A and group B. Furthermore, the efficacy of surgical treatment was evaluated. The treatment effect of group B and group C was not as obvious as that of group A, and group C was worse. The degree of intrauterine adhesions was negatively correlated with pregnancy rate and live birth rate of the fetus. Before treatment, there were significant differences in endometrial vascular index (EVI), blood flow Index (FI), endometrial volume (EV), and vascular blood flow index (VFI) among the three groups of patients with different degrees of adhesion. As the degree of adhesion increased before treatment, blood flow decreased. Surgery significantly improved the clinical symptoms of the three groups of patients. Moreover, the recovery of patients in group A was the best, followed by group B, and group C had the worst recovery.

conclusionThe treatment effect and prognosis of patients were related to the degree of intrauterine adhesions before treatment. As the degree of intrauterine adhesions increased, the treatment effect and prognosis of patients became worse, and intensive treatment was needed. (Chinese Clinical Trial Registry, trial number ChiCTR1700026770, trial URL: http://www.chictr.org.cn/).

Indexed as

different degreesHysteroscopic adhesions separationintrauterine adhesionsmenstruationpregnancy outcomerecurrence

Identifiers

PMID35173868
PMCPMC8829641

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.