Recurrent Miscarriage: Hysteroscopy-Assisted Management

• 作者: Abdel Fattah Agameya Fady M. Shawky Moiety Hisham Aly Saleh
• 来源期刊: 妇产科期刊(英文)
• 学科: 医学
• 关键词: HYSTEROSCOPY OFFICE RECURRENT MISCARRIAGE
• 年，卷（期）: 2018,（5）
• 页码范围: 425-430
• 页数: 6页
• 分类号: R73

摘要

Objective: To apply office hysteroscopy in assessment/management of patients with recurrent miscarriage, thus to/or not to recommend office hysteroscopy as a routine procedure in such cases. Study design: Retrospective analysis. Setting: University hospital’s outpatient abortion clinic. Subjects & Methodology: Patients’ records during the period between March 2015 and January 2017 for subjects with at least 2 previous miscarriages, who had undergone office hysteroscopy were reviewed. Results: Cases with 2 previous miscarriages (n = 95) were assessed and compared with those with 3 or more miscarriages (n = 105). Abnormal uterine findings were diagnosed in 24.1% of the former, and 43.8% of the latter group. The prevalence of uterine lesions among cases with 2 recurrent miscarriages was 42.1%;meanwhile, for subjects with 3 or more consecutive miscarriages, it was 43.8%. Conclusion: In addition to safety profile, simplicity and outpatient basis of use, outpatient hysteroscopy in recurrent miscarriages would be an added-value to practitioners as a diagnostic and therapeutic tool.