宫内粘连(IUA)或Asherman′s Syndrome)常伴有不孕和月经紊乱,其可能的原因:因不全流产、过期流产、引产而刮宫,还有诊刮、产后刮宫,亦可见于子宫肌瘤摘除和剖宫产后的病例。本研究是评价用扩张宫颈、钝性刮宫、溶解粘连和放置宫内节育器而不用雌激素或抗生素治疗轻、中度IUA。本文报告1979年1月～1981年12月间治疗51例IUA患者,平均年龄29岁。均有继发不孕1～5年,平均1.6年。月经周期正常38例(74%),月经过少12例(24%),闭经1例(2%)。诊断前,51例有148次妊娠,分娩活婴41例,流产107次。刮宫1～3次46例(90%),4～7次5例(10%)。刮宫原因:自然流产(45%)、过期流产(23%)、引 Intrauterine adhesions (IUA) or Asherman’s Syndrome is often accompanied by infertility and menstrual disorders, the possible causes: incomplete abortion, abortion, induced abortion and curettage, and curettage, postpartum curettage, also found in the uterine muscle Tumor removal and cesarean section after the case. This study evaluated the treatment of mild to moderate IUA with dilated cervix, blunt curettage, lytic adhesions, and placement of an IUD without estrogen or antibiotics. This article reports 51 patients with IUA treated between January 1979 and December 1981 with an average age of 29 years. Have secondary infertility 1 to 5 years, an average of 1.6 years. Menstrual cycle was normal in 38 cases (74%), menorrhagia in 12 cases (24%), amenorrhea in 1 case (2%). Before diagnosis, 51 cases of 148 pregnancies, delivery of live infants in 41 cases, abortion 107 times. 46 cases (90%) of curettage 1 to 3 times, 5 cases (10%) 4 to 7 times. Causes of curettage: spontaneous abortion (45%), abortion (23%), cited