子宫内膜损伤宫腔粘连评价指标的临床应用

Clinical application of evaluation indicators of intrauterine adhesion with endometrial injury.

各种原因引起的子宫内膜基底层损伤可导致子宫内膜纤维化及宫腔形态学破坏。临床上最常见的子宫内膜损伤代表性疾病是宫腔粘连。子宫内膜损伤宫腔粘连的主要临床表现为月经量减少、闭经、不孕;临床评价指标包括影像学、宫腔镜形态学及子宫内膜容受性指标。中华医学会妇产科学分会妇科内镜学组制定的宫腔粘连评分分级标准纳入了更全面有效的评价指标,对于子宫内膜损伤的精准评估、诊断及生殖预后结局的有效预测具有更高的临床应用价值。

Endometrial basal layer injury caused by various reasons can lead to endometrial fibrosis and uterine cavity morphological damage.The most common representative disease of endometrial injury in clinic is intrauterine adhesions.The common clinical manifes⁃tations of intrauterine adhesions with endometrial in⁃jury are hypomenorrhea,amenorrhea and infertility.The clinical evaluation indicators include imaging,hys⁃teroscopic morphology and endometrial receptivity.The grading standard of intrauterine adhesions established by China Society of Gynecology Endoscopy has in⁃cluded more comprehensive and effective evaluation indicators,which has higher clinical application value for the accurate evaluation and diagnosis of endometrial injury and the effective prediction of reproductive prognosis.