Predictive value of live birth rate based on different intrauterine adhesion evaluation systems following TCRA

Autor: Danming You, Qingyan Zhang, Mingzhu Cao, Zhi Liu, Yingying Pan, Shuying Feng
Rok vydání: 2021
Předmět:
Adult
Infertility
China
medicine.medical_specialty
lcsh:QH471-489
Pregnancy Rate
Tissue Adhesions
Hysteroscopy
Logistic regression
lcsh:Gynecology and obstetrics
Cohort Studies
03 medical and health sciences
0302 clinical medicine
Endocrinology
Transcervical resection of adhesion
Predictive Value of Tests
Pregnancy
Spontaneous conception
Hypomenorrhea
medicine
lcsh:Reproduction
Live birth
Humans
Intrauterine adhesion
lcsh:RG1-991
Retrospective Studies
Nasr classification
Uterine Diseases
030219 obstetrics & reproductive medicine
Receiver operating characteristic
Obstetrics
business.industry
Research
Infant
Newborn
Obstetrics and Gynecology
Retrospective cohort study
medicine.disease
Treatment Outcome
Reproductive Medicine
030220 oncology & carcinogenesis
Female
Amenorrhea
medicine.symptom
business
Infertility
Female
Developmental Biology
Zdroj: Reproductive Biology and Endocrinology : RB&E
Reproductive Biology and Endocrinology, Vol 19, Iss 1, Pp 1-11 (2021)
ISSN: 1477-7827
DOI: 10.1186/s12958-021-00697-1
Popis: ObjectiveThe aim of this study was to assess the predictive value of five different intrauterine adhesion (IUA) evaluation systems for live birth rate following transcervical resection of adhesion (TCRA).MethodThis retrospective study included 128 women with IUA who desired for spontaneous conception after TCRA. All the patients were retrospectively scored by the American Fertility Society (AFS) classification, European Society of Gynecological Endoscopy (ESGE) classification, March’s classification (March), Nasr classification (Nasr) and Chinese IUA diagnosis classification criteria (Chinese). The predictive value of these evaluation systems was determined by receiver operating characteristic (ROC) curves and area under a ROC curve (AUC).ResultsThe correlation coefficients of AFS, ESGE, March, Nasr and Chinese classification and the live birth rate were 0.313, 0.313, 0.288, 0.380, and 0.336, respectively. Among women with hypomenorrhea and amenorrhea, as well as women with no infertility, the severities determined by all five evaluation systems were correlated with live birth rate (P ConclusionAFS, ESGE, March, Nasr and Chinese classification were demonstrated to be capable of predicting live birth following TCRA although the predictive capacities might be limited, and Nasr classification showed the highest predictive value of live birth.
Databáze: OpenAIRE
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