Treatment of cervical adhesions

Medical students call cervical adhesion cervical adhesion, which is mainly caused by trauma or inflammation. It is very easy to occur after multiple artificial abortions. The main symptoms are lower abdominal pain, abnormal menstruation, abnormal pregnancy, etc., which are very harmful. After suffering from cervical adhesion, it is necessary to seek timely treatment to avoid more serious consequences. So, what is the treatment for cervical adhesions? Let’s take a look below.

Due to trauma or inflammation, complete or incomplete adhesions of the cervical canal and uterine cavity may occur. The two can exist separately or together. Cervical adhesions often occur when the negative pressure suction during artificial abortion damages the cervical endometrium. It can also occur when the cervical endometrium is damaged by electric ironing, freezing, laser or corrosive drugs to treat cervical inflammation.

Clinical manifestations

1. Lower abdominal pain

Generally, about one month after an artificial abortion or curettage, sudden spasmodic pain in the lower abdomen occurs. Some patients have severe abdominal pain, restlessness, difficulty moving, and even passing gas and defecation are painful.

2. Abnormal menstruation

Complete cervical adhesion may cause amenorrhea, while partial cervical adhesion may cause scanty menstruation but normal menstrual cycles. If it is caused by cervicitis or other inflammation, the patient will experience abnormal phenomena such as irregular menstruation, prolonged menstruation, and dark menstrual blood.

Infertility is the main symptom of this disease. Patients are also prone to pregnancy failure, including early and mid-pregnancy miscarriage, premature birth, ectopic pregnancy, missed miscarriage, intrauterine fetal death, etc.

examine

When probing the uterus, the cervix feels narrow or cannot be penetrated.

diagnosis

During the examination, if the cervical canal is found to be obstructed or completely blocked, the uterus may be enlarged, and after inserting a uterine probe, if there is fluid accumulation or dark red blood overflowing, the diagnosis can be confirmed.

Differential Diagnosis

Intrauterine adhesion: During hysteriodized oil radiography, a filling defect shadow can be seen at the adhesion site. Hysteroscopy can directly observe the extent and location of adhesions.

For patients with short course of cervical adhesions, cervical dilation should be used to restore patency. After the operation, you can use chloramphenicol glycerol (chloramphenicol + glycerol) or chloramphenicol cod liver oil (chloramphenicol + cod liver oil) to apply the cervical canal once a day for 3 to 5 consecutive days to prevent re-adhesion. Give antibiotics to those who have an infection.

If the disease has lasted for a long time and the adhesions are tight and cannot be separated by a cervical dilator, the adhesions must be separated by incision, and a drainage tube must be placed in the cervical canal after the accumulated fluid or blood is discharged.