复杂子宫腺肌病合并不孕患者的诊疗策略

Diagnosis and treatment strategies for infertility patients with complex adenomyosis

子宫腺肌病是育龄期妇女的常见病,主要表现为痛经、月经量多、不孕不育和子宫增大。近年来随着生育政策的调整以及生育年龄的延迟,子宫腺肌病和不孕不育的相关性日益受到重视。子宫腺肌病往往不单独存在,经常合并子宫肌瘤、卵巢子宫内膜异位囊肿、深部子宫内膜异位症以及输卵管积水等复杂妇科疾病情况。合并疾病的存在增加了子宫腺肌病相关不孕的诊治难度。对于复杂子宫腺肌病合并不孕患者,如何进行有效的诊断和针对性的治疗,以提高妊娠率和改善妊娠结局?本文对复杂子宫腺肌病相关不孕患者的诊疗进行专题述评,旨在为复杂子宫腺肌病合并不孕患者探索有效的诊疗模式,提高其妊娠和活产率,改善新生儿预后。

Adenomyosis is a common disease in women of childbearing age,mainly manifested as dysmenorrhea,heavy menstrual flow,infertility and enlarged uterus.In recent years,with the adjustment of fertility policy and the delay of reproductive age,the correlation between adenomyosis and infertility has been paid more and more attention.Adenomyosis often does not exist alone,and is often associated with complex gynecological diseases such as uterine fibroids,ovarian endometriotic cysts,deep endometriosis,and hydrosalpinx.The existence of comorbid diseases increases the difficulty of diagnosis and treatment of adenomyosis-related infertility.How to make effective diagnosis and targeted treatment for patients with complex adenomyosis and infertility to increase pregnancy rate and improve pregnancy outcome?This article provided a special review of infertility patients with complex adenomyosis,and aimed to explore an effective diagnosis and treatment model for patients with complex adenomyosis and infertility,increase their pregnancy and live birth rates,and improve the prognosis of newborns.