中重度宫腔粘连治疗及预防再粘连研究进展

Progress in the treatment of moderate and severe intrauterine adhesions and prevention of recurrence

宫腔粘连(IUA)是指子宫或子宫颈纤维组织的形成,导致子宫内膜部分或完全粘连,并引起一系列的如月经过少甚至闭经、腹痛、复发性流产、不孕等并发症。宫腔镜下粘连分离术(TCRA)是目前治疗的最有效方法,但是术后的复发是目前的一个难点。文章就中、重度宫腔粘连行宫腔粘连分离术后预防再粘连策略进行综述。

Intrauterine adhesions(IUA),which is refers to the formation of the uterus and/or cervix of fibrous tissue resulting in partially or completely endometrial adhesions,and cause series of such as ligomenorrhea or amenorrhea,pelvic pain,recurrent pregnancy loss,infertility and other complications.Hysteroscopic Intrauterine Adhesiolysis(TCRA)is the most effective method of treatment,but recurrence is a difficult problem.This review summarizes the strategies for prevention of recurrence following intrauterine adhesions in moderate and severe adhesions.