CAJ | 학술논문

随着无痛人工流产技术的开展，以及年轻女性对避孕和生殖保健知识的缺乏，重复人工流产率不断上升，宫腔粘连作为人工流产远期并发症也逐年增加。宫腔镜是诊断和治疗宫腔粘连最简单有效的方法，已成为妇科微创手术的重要组成部分。不同程度的宫腔粘连可导致不孕症。除宫腔镜下分离粘连外，重度宫腔粘连尚无理想方法可以防止再次宫腔粘连。目前国内外对宫腔粘连的研究多局限在诊断和治疗方面，而其形成机制和病理生理变化缺乏相关研究报道。随着影像和宫腔镜技术的发展，以及有关宫腔粘连临床实践的变化，对宫腔粘连的病因、诊断、治疗及预防等的研究提出了更为迫切的要求。当前，提高人工流产技术、重视其并发症是预防宫腔粘连的关键。
수착무통인공유산기술적개전，이급년경녀성대피잉화생식보건지식적결핍，중복인공유산솔불단상승，궁강점련작위인공유산원기병발증야축년증가。궁강경시진단화치료궁강점련최간단유효적방법，이성위부과미창수술적중요조성부분。불동정도적궁강점련가도치불잉증。제궁강경하분리점련외，중도궁강점련상무이상방법가이방지재차궁강점련。목전국내외대궁강점련적연구다국한재진단화치료방면，이기형성궤제화병리생리변화결핍상관연구보도。수착영상화궁강경기술적발전，이급유관궁강점련림상실천적변화，대궁강점련적병인、진단、치료급예방등적연구제출료경위박절적요구。당전，제고인공유산기술、중시기병발증시예방궁강점련적관건。
With the development of the painless induced abortion technique ,due to the young female lack of the awareness of birth control and reproductive health ,and the rising rate of repeat induced abortion ,the long-term complications caused by intrauterine adhesions as abortion also increases year by year. At present ,the diagnosis and treatment of hysteroscopy which is caused by intrauterine adhesions,is the most simple and effective method,and has become an important gynaecology minimally invasive surgery. The infertility is caused by intrauterine adhesions in different level. Severe caused by intrauterine adhesions,now in addition to the separation of adhesion under hysteroscopy,there is no ideal method to prevent recurrent caused by intrauterine adhesions. At present the study of intrauterine adhesions are limited in the diagnosis and treatment ,and the fact of lacking in current report about formation mechanism and pathological physiology change is obvious at home and abroad. In the wake of cultivation of imaging and hysteroscopy technology ,and significant changes having taken place in clinical practice for intrauterine adhesions,the uterine cavity adhesion for the etiology,diagnosis,treatment and prevention research has been put forward to higher request. Apparently ,the key of preventing the intrauterine adhesion is to improve the skills of artificial abortion and complications.