宫腔内粘连的临床诊断和治疗进展

IF 1.6 Q2 MEDICINE, GENERAL & INTERNAL Journal of clinical medicine research Pub Date : 2024-04-07 DOI:10.32629/jcmr.v5i1.1782
Qian Zhou, Rui Yuan
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引用次数: 0

摘要

宫腔粘连是一种由多种致病因素引起的高发疾病,它损害子宫内膜基底层,影响妇女的月经和生育。近年来,由于人工流产等各类宫腔手术的增多,该病的发病率逐渐升高。宫腔镜检查是诊断宫腔粘连的主要方法。宫腔镜检查是诊断宫腔粘连的主要方法,结合超声检查可以确定宫腔粘连的范围和程度,指导治疗方法的选择。但它不能发现宫腔内的微小变化,对于粘连严重、子宫内膜损伤的患者,宫腔镜检查效果并不好。准确评估复发风险、个体化诊治是降低高复发率、提高低妊娠率的重要前提。本文对宫腔内粘连的临床诊治研究进行了综述,以期提高和完善对该病的认识,为临床提供新思路。
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Advances in Clinical Diagnosis and Treatment of Intrauterine Adhesions
Intrauterine adhesion is a kind of high incidence disease caused by many pathogenic factors, which damages the endometrial basal layer and affects the menstruation and fertility of women. In recent years, due to artificial abortion and other types of increased uterine cavity surgery, the incidence of the disease gradually increased. Hysteroscopy is the main method to diagnose intrauterine adhesion. Combining with ultrasound, it can determine the range and degree of intrauterine adhesion and guide the choice of treatment. But it cannot find small changes in the uterine cavity, and for serious adhesions and endometrial injury in patients, hysteroscopy examination results are not good. Accurate assessment of recurrence risk and individualized diagnosis and treatment are important prerequisites to reduce the high recurrence rate and improve the low pregnancy rate. This article reviews the research on clinical diagnosis and treatment of intrauterine adhesions in order to enhance and improve the understanding of the disease and provide a new clinical thinking.
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