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[Study on the outcome of pregnancy after transcervical resection of endometrium]
Enlan Xia1, Hua Duan, Xiaowu Huang
1Hysteroscopic Center, Fuxing Hospital Affiliated of Capital University of Medical Sciences, Beijing 100038, China.
Objective:
To evaluate the outcome and management of pregnancy after transcervical resection of endometrium (TCRE).
Method:
Retrospective study on the pregnant complication and outcome after TCRE of 26 patients (32 pregnancies).
Results:
There were two case of spontaneous abortion, in which one case of cervical pregnancy combined with huge bleeding when the gestational sac was extracted. There were 27 cases of artificial abortion. Among them one case of intrauterine adhesion and narrow which was resected by resectoscope and gestational sac was aspirated completely. One case encountered profuse bleeding about 700 ml just after aspiration ended which was irresponsible to general treatment. Finally the bleeding was stopped by pressure from intrauterine balloon. One case pregnancy on the right uterine corner, which was treated by subtotal hysterectomy because of the suctioned abortion failed. There are two cases of fallopian tube pregnancy. One case of term pregnancy and placenta increta, a low birth weight girl was born by cesarean section and subtotal hysterectomy was performed simultaneously.
Conclusions:
Pregnancy is possible after TCRE and which can complicate with difficulties of abortion, abnormal insertion of placenta, fetal growth restriction and abnormal third labor course etc. Therefore pregnancies after TCRE are high-risk, which have to be monitored intensively and treated appropriately.
