宫腔粘连的治疗策略及进展

Treatment strategy and progress of intrauterine adhesions

随着不孕症发病率的增加,宫腔粘连作为继发性不孕的重要原因之一,在生殖领域逐渐引起人们注意。宫腔粘连常见的临床表现是月经量减少、不孕、周期性腹痛等。其治疗目的是恢复宫腔解剖学形态及宫腔容积,治疗相关症状,预防再粘连形成,促进子宫内膜再生修复,恢复生育能力。宫腔镜是诊断和治疗宫腔粘连的金标准,术后尽管有多种预防再粘连的方法,但其粘连复发率仍较高,妊娠率仍不理想。现将其研究近况作一综述。

With the increase in the incidence of infertility, intrauterine adhesions as an important cause of secondary infertility, in the field of reproduction gradually attracted attention. Intrauterine adhesions common clinical manifestations of menstrual reduction, infertility, cyclical abdominal pain, etc. The purpose of treatment is to restore intrauterine anatomical morphology and uterine volume, treatment-related symptoms, prevention of re-adhesion formation, promote endometrial regeneration repair and restore fertility. Hysteroscopy is the gold standard for diagnosis and treatment of intrauterine adhesions, although there are a variety of ways to prevent re-adhesion, but the recurrence rate is still high, pregnancy rate is still not ideal. Now its research status to do a review.