宫腔粘连临床病因学及诊疗研究进展

doi:10.12280/gjfckx.20200820

摘要/Abstract

摘要：

宫腔粘连是各种致病因素作用下的子宫内膜损伤性疾病,严重影响女性的生殖健康和生育功能。妊娠期宫腔操作是导致宫腔粘连的主要病因,宫腔感染、子宫内膜血流低灌注等也可能与该病发生密切相关。宫腔镜检查是诊断宫腔粘连的金标准,宫腔镜宫腔粘连分离术是治疗该病的首选方法,术后多需联用辅助治疗措施预防再粘连发生,但目前尚未对该病的最佳诊疗方案达成统一的评价标准。就宫腔粘连形成的临床病因及诊疗相关研究进行综述,旨在预防宫腔粘连,为早发现、早诊断并及时采取措施提供依据,避免对子宫内膜造成更严重的伤害,为宫腔粘连的治疗开辟新思路。

关键词: 子宫, 组织黏连, 诊断, 治疗, 危险因素

Abstract:

Intrauterine adhesion（IUA） is an endometrial injury disease caused by various pathogenic factors, which seriously affects female genital health and reproductive function. Intrauterine operation during pregnancy is the main cause of IUA. Furthermore, intrauterine infection and less perfusion of endometrial blood flow may also be closely related to the onset and progress of the disease. Hysteroscopy is the gold standard for clinical diagnosis and treatment of IUA. Transcervical resection of adhesion is currently an effective method to deal with IUA. Postoperative adjuvant treatment is used to prevent adhesion recurrence, but there is no consensus on the best diagnosis and treatment plan for this disease. This article reviews the clinical etiology, diagnosis and therapy of IUA, aiming at providing further evidence for its early detection and prevention, precise diagnosis and timely treatment, so as to avoid severe damage to the uterine endometrium, and provides a reference for clinical decision-making.

Key words: Uterus, Tissue adhesions, Diagnosis, Therapy, Risk factors

许阡, 王祎祎, 臧春逸. 宫腔粘连临床病因学及诊疗研究进展[J]. 国际妇产科学杂志, 2021, 48(2): 224-229.

XU Qian, WANG Yi-yi, ZANG Chun-yi. Advances in the Clinical Etiology, Diagnosis and Therapy of Intrauterine Adhesions[J]. Journal of International Obstetrics and Gynecology, 2021, 48(2): 224-229.

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