Uterine adhesions in the ultrasound manifestation of the endometrium is thin, and there is uneven echo, local echo continuity interruption, the endometrium was twisted line strong echo, endometrial periphery or internal can be seen in a number of irregular hypoechoic band, that is, the adhesion band, the anterior and posterior walls of the myometrium adhesion, the endometrium and the myometrium is generally not clearly demarcated, can be secondary to the uterine cavity fluid or no obvious abnormal changes.
Uterine adhesions are the result of physical and chemical stimuli such as trauma from uterine operation and infection. The destruction of the basal layer of the uterine mucosa, the formation of the uterine cavity part or all of the adhesions, or even atresia, can cause low menstrual flow, infertility symptoms, and some patients will also have dysmenorrhea, amenorrhea and other symptoms.
Ultrasound alone cannot diagnose uterine adhesions unless there is a very typical dark band in the uterine cavity, which needs to be combined with a history of manipulation of the uterine cavity before the ultrasound can suggest suspected uterine adhesions. Hysteroscopy confirms that the more obvious the separation of the uterine cavity, the less severe the degree of adhesion; the thinner the thickness of the endothelium, which suggests that the degree of adhesion is more severe.
If uterine adhesions are detected, patients are advised to go to the hospital as soon as possible for treatment.