宫腔粘连综合征62例临床分析  

Clinical analysis of 62 cases of intrauterine adhesions

作　　者：刘春梅[1] 

机构地区：[1]中国医学科学院中国协和医科大学北京协和医院妇产科,北京100730

出　　处：《中国医刊》2007年第3期40-42,共3页Chinese Journal of Medicine

摘　　要：目的分析宫腔粘连综合征(intrauterine adhesions,IUA)的临床特点,为IUA有效防治提供线索。方法收集1996年1月至2005年8月诊治的62例IUA病历进行回顾性分析。结果IUA检出率呈上升趋势,无症状者增多。妊娠损伤所引起的IUA约占68.5%,非妊娠损伤为31.5%。依据欧洲妇科内镜协会(ESGE)标准对宫腔镜下IUA程度的分度与临床表现不一致。宫腔镜术后上环和雌激素配合治疗成为IUA治疗的主要手段。结论IUA的预防重于治疗,加强宣传教育是降低IUA发生的重要手段。目前IUA仍缺乏统一的诊断标准和治疗方法。Objective To analysis the characteristics of intrauterine adhesions for providing some clues of better prevention and treatment. Methods Clinical materials were collected of 62 case of IUA from 1996 to 2005 in PUMCH and managed with retrograde analysis. Results The study showed a gradually upgrading trend in IUA detection percentage and asymptomatic incidence. The causes included pregnancy-related injures and non pregnancy-related injures, of which the former shared 65.8% and the latter 31.5%. Hysteroscopical measurement revealed discrepancy between clinical manifestations and adhesion degrees by ESGE criteria. The predominal therapy is combination of post-hystemscopical IUD and administration of estrogen. Conclusion It is more important in prevention than therapy in IUA. Enhance the education of avoiding IUA is a basilic method to reduce the incidence of IUA. At present it still needs a uniform standard on diagnosis and treatment of IUA.

关 键 词：宫腔粘连 宫腔镜 宫内节育器 雌激素 

分 类 号：R711[医药卫生—妇产科学]