Many causes of spontaneous abortion, in addition to genetic, infection, luteal insufficiency, human chromosomal abnormalities and other factors, uterine disease is the main reason for spontaneous abortion.
Uterine fibroids cause miscarriage. The disease is mainly localized oppression of tumor tissue and obstruction, so that the uterine cavity deformation and gradual degeneration, endometrial ulceration occurs, intimal and muscular blood flow is reduced, adverse pregnancy implantation and development of abortion. For young women who are eager for fertility, uterine fibroids can be removed without hysterectomy to maintain fertility.
Intracervical mouth relaxation causes miscarriage. Pregnant women suffering from loosening of the uterine cervix usually experience miscarriage in the second trimester. This is because, as the fetus grows and the amniotic fluid gradually increases, the pressure in the uterine cavity continues to increase, causing the cervix of the membrane sac to protrude and cause rupture of the membrane. Cervical slack has been associated with past cervical tear injury, multiple abortions, and uterine hypoplasia. Cervical cerclage in 12 to 15 weeks of pregnancy or in non-pregnancy for cervical repair can receive good results.
Uterine malformation causes miscarriage. The human uterus is a muscular organ formed by the development of the declination of the renal canal. Incomplete fusion of the bilateral lumen or fusion of the mediastinum may lead to congenital single-horned uterus, double-horned uterus, double uterus, and uterine septum and other uterus. deformity. Uterine mediastinum, accounting for about 80% of uterine malformations, is the most common uterine malformation causing spontaneous abortion and premature birth. The abortion caused by uterine mediastinum is mainly the mediastinal region ischemia and endometrial dysplasia. The insufficient blood supply after fertilized eggs implantation affects the normal development of the fetus. In recent years, hysteroscopic diagnosis and treatment of uterine septum is of special value. It is not only easy to diagnose, but also can be removed under the microscope. Surgery can significantly reduce the miscarriage rate.
Intrauterine adhesions can also be miscarried. In patients with intrauterine adhesions, most have a history of endometrial damage, such as multiple abortions, excessive curettage, and so on. The pathological changes of abortion caused by intrauterine adhesions are shrinking and deformation of the uterine cavity, hardening of the endometrium and reduction of the area, affecting the embryonic development. According to statistics, after diagnosis of uterine cavity adhesions, after surgical separation, expansion of the palace, medication treatment, the abortion rate can be reduced from 67% of the treatment period to 26%.
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