摘要
子宫腺肌病(AM)是一种性激素依赖性疾病,其不孕的机制包含内膜的干细胞调节紊乱,子宫内膜-肌层界面变化(EMI),高泌乳血症及临床相关因素等。治疗方法的选择趋于多样化、多角度不同阶段全方位考量,分为期待治疗、手术治疗、药物治疗、超声引导下的各种治疗方法、血管性介入治疗(UAE)及宫内放置LNG-IUS等。应遵循个体化治疗原则,提高AM患者受孕率。
Adenomyosis is a hormonal dependent disease, its mechanism of infertility includes intimal stem cells theory, endometrial myometrial interface (EMI) theory, hyperprolactinemia and its clinical correlative factors. Treatment tends to be diversified, single or symphyseal, multi -focused multidirectional considerations in various stages. It includes ex- pectant management, surgery, drug therapy, different ultrasound -guided treatment, uterine artery embolization (UAE) implant of Levonorgestrel intrau- terine system (LNG-IUS), and so on. Treatments must follow individualized treatment principles to improve the conception rate of patients with adenomyosis.
出处
《中国实用妇科与产科杂志》
CAS
CSCD
北大核心
2009年第9期662-665,共4页
Chinese Journal of Practical Gynecology and Obstetrics