宫腔粘连的中西医诊疗进展

Progress of Chinese and Western Medicine in the Diagnosis and Treatment of Uterine Cavity Adhesion

宫腔粘连(IUA)又称Asherman综合征,是一种由感染、宫腔操作等多种因素导致子宫内膜基底层受损后,子宫内膜异常修复进而形成宫腔内或宫颈管瘢痕或粘连带,导致子宫形态失常的一种病变。近年来,宫腔粘连发病率逐渐上升,临床医学上目前最常用的治疗方法是宫腔镜宫腔粘连分离术(TCRA),术后仍有较高的复发率。IUA作为临床疑难疾病,诸多中医医家经历长时间的研究和探索,在临床治疗上取得了一定疗效。本文就宫腔粘连的中西医诊疗发展进程作综述如下。

Intrauterine adhesions (IUA), also known as Asherman’s syndrome, is a condition in which abnormal repair of the endometrium after damage to the basal layer of the endometrium caused by multiple factors, such as uterine manipulation, infection, etc., leads to the formation of scarring or adhesion bands in the uterine cavity or cervical canal, resulting in uterine dysmorphism. In recent years, the incidence of uterine adhesions has gradually increased, and the most commonly used treatment in clinical medicine is hysteroscopic uterine adhesion separation (TCRA), which still has a high recurrence rate after surgery. As a clinically difficult disease, IUA has been researched and explored for a long time by many TCM practitioners, and has achieved certain efficacy in clinical treatment. This article summarizes the development process of Chinese and Western medicine in the diagnosis and treatment of uterine adhesion as follows.