宫腔粘连的治疗进展  

Advance in treatment of intrauterine adhesion

作　　者：秦琰[1] 王蔼明[2] 

机构地区：[1]内蒙古民族大学临床医学院,通辽028000 [2]海军总医院,北京100048

出　　处：《生殖医学杂志》2015年第1期75-78,共4页Journal of Reproductive Medicine

基　　金：国家"十二五"科技支撑计划项目(2012BAI32B05);国家自然科学基金(81000245;81370703);全军后勤科研课题(CHJ13J012)

摘　　要：宫腔粘连定义为子宫内粘连或纤维化,伴有以下一种或多种临床症状:月经减少、闭经、反复流产、不孕及胎盘形成异常,而无以上症状者称为无症状宫腔粘连。宫腔粘连的治疗目的是恢复宫腔正常形态,预防粘连复发,修复损伤的内膜,以及恢复正常生育功能。宫腔镜下粘连分解术是宫腔粘连的标准治疗方法,然而这只是治疗的第一步。由于粘连复发、宫腔纤维化的程度影响生殖结局,因此众多辅助治疗方法被研究应用,但缺乏统一的标准。本综述的目的是总结关于宫腔粘连治疗的最新证据。Intrauterine adhesion should be defined by the presence of adhesions or fibrosis inside uterine cavity whereby derives one or more clinical features such as hypomenorrhea,amenorrhea,recurrent pregnancy loss,infertility and history of abnormal placentation.If there is no symptom,the term 'asymptomatic intrauterine adhesions' should be used.Treatment of intrauterine adhesion aims at restoring the size and shape of the uterine cavity,preventing recurrence of adhesion,promoting repair of the destroyed endometrium,and restoring normal reproductive functions.Hysteroscopic adhesiolysis is an established standard technique of intrauterine adhesion,however this is only the first step for treatment.Because the adhesion recurrence and the extent of intrauterine fibrosis affect the reproductive outcome,many ancillary treatments are being researched and applied.However,there is a lack of uniform standards.The aim of this review is to summarize the most recent evidences with regard to treatment of intrauterine adhesion.

关 键 词：宫腔粘连 ASHERMAN综合征 宫腔镜 宫腔纤维化 治疗 

分 类 号：R[医药卫生]