52 一位30歲女性病人，多次人工流產後，月經量變得非常少，子宮鏡檢查如下圖所示，最合適的診斷及治療為下列何者？

Asherman’s syndrome＋觀察及荷爾蒙補充療法

雙子宮（uterus didelphys）＋觀察及荷爾蒙補充療法

Asherman’s syndrome＋子宮鏡手術切除黏連＋觀察及荷爾蒙補充療法

雙子宮＋手術切除中隔

ANS C

Asherman syndrome is the formation of intrauterine adhesions (scar tissue), which typically develop after uterine surgery.

Causes

Asherman syndrome is a rare condition. In most cases, it occurs in women who have had several dilatation and curettage (D&C) procedures.

A severe pelvic infection unrelated to surgery may also lead to Asherman syndrome.

Intrauterine adhesions can also form after infection with tuberculosis or schistosomiasis. These infections are rare in the United States, and uterine complications such as Asherman syndrome related to these infections are even less common.

Symptoms

The adhesions may cause amenorrhea (lack of menstrual periods), repeated miscarriages, and infertility.

However, such symptoms could be related to several conditions. They are more likely to indicate Asherman syndrome if they occur suddenly after a D&C or other uterine surgery.