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Comparative Study
. 2023 Jun;307(6):1873-1882.
doi: 10.1007/s00404-023-06993-y. Epub 2023 Mar 10.

A comparison of special intrauterine balloons and intrauterine contraceptive devices in the treatment of intrauterine adhesions

Lin-Lin Zhuang #  1 , Kai Wang #  1 , Hai-Lan Shen  1 , Jia-Hui Lin  1 , Ye Lu  2 , Zhen-Yu Luo  3 , Wen-Rong Wang  4
Affiliations
Comparative Study

A comparison of special intrauterine balloons and intrauterine contraceptive devices in the treatment of intrauterine adhesions

Lin-Lin Zhuang et al. Arch Gynecol Obstet. 2023 Jun.

Abstract

Purpose: This study aimed to compare the efficacy of a special kind of intrauterine balloon (IUB) and that of an intrauterine contraception device (IUD) for patients with intrauterine adhesions (IUAs) after transcervical resection of adhesion (TCRA).

Methods: In this retrospective cohort study, after TCRA, 31 patients received a special IUB, and 38 patients received an IUD. The Fisher exact test, logistic regression method, Kaplan-Meier method and Cox proportional hazards regression model were used for statistical analysis. A two-sided value of P < 0.05 was considered statistically significant.

Results: The readhesion rate significantly differed between the IUB group and IUD group, at 15.39% and 54.06%, respectively (P = 0.002). For recurrent moderate IUA, patients in the IUB group had lower scores than patients in the IUD group (P = 0.035). There was a significant difference in the intrauterine pregnancy rate of IUA patients in the IUB group and IUD group after treatment, with rates of 55.56% and 14.29%, respectively (P = 0.015).

Conclusion: Patients in the special IUB group had better outcomes than those in the IUD group, which has a certain guiding significance for clinical work.

Keywords: Hysteroscopy; Intrauterine adhesions; Intrauterine contraception device; Special intrauterine balloon.

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Conflict of interest statement

The authors declare no conflicts of interest. All authors confirm that all methods were carried out in accordance with the relevant guidelines and regulations.

Figures

Fig. 1
Fig. 1
Special intrauterine ballon (A), heart-shaped copper IUD (B)
Fig. 2
Fig. 2
Cumulative conception rate after TCRA in IUA patients treated with IUB or IUD
See this image and copyright information in PMC

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