宫腔粘连的诊疗进展

Advances in Diagnosis and Treatment of Intrauterine Adhesions

宫腔粘连(IUA)又称Asherman综合征,主要是由宫腔手术创伤、感染等多因素造成子宫内膜基底层损伤后,子宫内膜异常修复致宫腔内或宫颈管瘢痕或粘连带形成,导致子宫形态失常的一种病变。近年来随着二胎政策的开放,继发性不孕症人数逐渐增多,临床IUA检出率与确诊率也在不断提高。因此,了解IUA的发病原因,诊断、治疗方法、预防粘连再发方法具有重要意义,本文现就IUA的病因、发病机制、临床表现、诊断、分类、治疗及预防粘连再发作一综述。

Intrauterine adhesions(IUA),also known as Asherman syndrome,are mainly caused by uterine cavity trauma,infection and other factors that cause endometrial basal layer damage,and abnormal repair of the endometrium causes scars or adhesions in the uterine cavity or cervical canal,A disease that causes abnormal uterine morphology.In recent years,with the opening of the second child policy,the number of secondary infertility has gradually increased,and the clinical IUA detection rate and the diagnosis rate have also continued to increase.Therefore,to understand the causes of IUA,diagnosis,treatment,and prevention of adhesion recurrence are of great significance.This article now reviews the causes,pathogenesis,clinical manifestations,diagnosis,classification,treatment,and prevention of adhesion recurrence of IUA.