国际妇产科学杂志 ›› 2019, Vol. 46 ›› Issue (4): 365-369.

• 综述 •    下一篇

干细胞在子宫内膜损伤后修复的研究进展

韩笑,黄晓武   

  1. 100038 北京,首都医科大学附属复兴医院宫腔镜中心
  • 收稿日期:2019-01-30 修回日期:2019-04-18 出版日期:2019-08-15 发布日期:2019-08-15
  • 通讯作者: 黄晓武,E-mail:hxiaowu_fxyy@126.com E-mail:hxiaowu_fxyy@126.com

Research Progress of Stem Cell Repair Following Endometrial Injury

HAN Xiao,HUANG Xiao-wu   

  1. Hysteroscopy Center,Fuxing Hospital Affiliated to Capital Medical University,Beijing 100038,China
  • Received:2019-01-30 Revised:2019-04-18 Published:2019-08-15 Online:2019-08-15
  • Contact: HUANG Xiao-wu,E-mail:hxiaowu_fxyy@126.com E-mail:hxiaowu_fxyy@126.com

摘要: 子宫内膜修复是妇产科常见的病理生理过程,分为子宫内膜生理性修复及损伤后修复。生理性修复是内膜自我剥脱与再生的过程,并不形成瘢痕,而损伤后修复常不能完全修复,当损伤因子伤及子宫内膜基底层或破坏子宫内膜生长的微环境时,就会造成子宫内膜增殖受损、内膜再生障碍,甚至形成瘢痕,发生宫腔粘连,影响受精卵或胚胎的植入及着床,导致女性不孕或反复流产。目前,如何促进子宫内膜损伤后修复仍面临巨大挑战。近年来,干细胞对子宫内膜修复的研究备受关注,现就子宫内膜损伤的病理生理及干细胞在子宫内膜损伤后修复的研究进展做简要综述。

关键词: 子宫内膜, 组织黏连, 子宫, 干细胞移植, 间充质基质细胞

Abstract: Endometrial repair is a common pathophysiological process in obstetrics and gynecology. It is divided into physiological endometrial repair and endometrial repair following injury. Physiological repair is the process of self-exfoliation and regeneration of the intima. It does not form scars, unlike the intimal repair, which is often incomplete. When there is an injury to the basal layer of the endometrium or destruction of the endometrial growth microenvironment,it will result in endometrial proliferation dysfunction, endometrial regeneration disorders, and even scar formation and intrauterine adhesion. These changes will affect the potential for implantation of embryos, leading to female infertility or repeated miscarriage. At present, how to promote the repair of endometrial injury still poses a great challenge. In recent years, stem cell research on endometrial repair has attracted much attention. This paper aims to review the pathophysiology of endometrial regeneration and the research progress of stem cell repair following endometrial injury.

Key words: Endometrium, Tissue adhesions, Uterus, Stem cells transplantation, Mesenchymal stromal cells

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