宫腔粘连的诊治进展

宫腔粘连导致宫腔部分或完全封闭,引起月经异常、不育、疼痛及其他妊娠相关问题.妊娠后的宫腔器械操作、感染和低雌激素状态是发生宫腔粘连的高危因素.宫腔镜是诊断和治疗宫腔粘连的金标准,有时尚需激素等辅助治疗.经过恰当处理,预后一般良好,尤其是正常宫腔解剖和正常月经的恢复,而妊娠率约50%.为了评价宫腔粘连诊断和治疗的进展,本文对其发生率和病因、分类系统、症状和诊断、手术治疗、辅助治疗、预防及预后等进行综述.

Advances in the diagnosis and treatment of intrauterine adhesion

Intrauterine adhesion （IUA） causes partial or complete occlusion of the uterine cavity, which results in menstrual disturbance, infertility, pain and other pregnancy associated problems. Traumatic uterine operations with instrument during pregnancy, infection and hypoestrogenism are risk factors of IUA. Clinicians should keep eyes on IUA. Hysteroscopy is the golden standard for diagnosing and treating IUA, and ancillary treatments such as hormone supplement are necessary. With correct management, the prognosis for return of normal menses and uterine anatomy is excellent, and a pregnancy rate of 500/oo could be achieved. The prevalence and etiology, classification system, symptoms and diagnosis, surgical treatment, ancillary treatment, prevention and prognosis of IUA are reviewed.