医学综述
醫學綜述
의학종술
MEDICAL RECAPITULATE
2015年
15期
2770-2772
,共3页
张玲玲(综述)%应小燕(审校)
張玲玲(綜述)%應小燕(審校)
장령령(종술)%응소연(심교)
宫腔粘连%子宫内膜损伤%不孕%宫腔镜%干细胞
宮腔粘連%子宮內膜損傷%不孕%宮腔鏡%榦細胞
궁강점련%자궁내막손상%불잉%궁강경%간세포
Intrauterine adhesions%Injured endometrium%Infertility%Hysteroscopy%Stem cells
宫腔粘连(IUA)是因各种宫腔操作引起的子宫内膜损伤性疾病。随着生育前人工流产率的不断上升,IUA的发生率也逐渐上升,已成为女性继发不孕的主要病因之一。随着宫腔镜技术的发展,针对轻、中度IUA患者的治疗,通过宫腔镜下粘连分离术( TCRA)尚能取得一定疗效,但对于宫腔重度粘连或内膜损伤严重的患者,单纯行TCRA术临床疗效欠佳。因此,TCRA术后促进损伤内膜的修复再生、恢复子宫内膜结构及功能的辅助治疗、细胞疗法等有着重要的临床价值及广泛的应用前景。
宮腔粘連(IUA)是因各種宮腔操作引起的子宮內膜損傷性疾病。隨著生育前人工流產率的不斷上升,IUA的髮生率也逐漸上升,已成為女性繼髮不孕的主要病因之一。隨著宮腔鏡技術的髮展,針對輕、中度IUA患者的治療,通過宮腔鏡下粘連分離術( TCRA)尚能取得一定療效,但對于宮腔重度粘連或內膜損傷嚴重的患者,單純行TCRA術臨床療效欠佳。因此,TCRA術後促進損傷內膜的脩複再生、恢複子宮內膜結構及功能的輔助治療、細胞療法等有著重要的臨床價值及廣汎的應用前景。
궁강점련(IUA)시인각충궁강조작인기적자궁내막손상성질병。수착생육전인공유산솔적불단상승,IUA적발생솔야축점상승,이성위녀성계발불잉적주요병인지일。수착궁강경기술적발전,침대경、중도IUA환자적치료,통과궁강경하점련분리술( TCRA)상능취득일정료효,단대우궁강중도점련혹내막손상엄중적환자,단순행TCRA술림상료효흠가。인차,TCRA술후촉진손상내막적수복재생、회복자궁내막결구급공능적보조치료、세포요법등유착중요적림상개치급엄범적응용전경。
Intrauterine adhesion(IUA) is an endometrial injury disease.As the rising of induced abor-tion before birth,the incidence of IUA is increasing,which has become one of the major causes of secondary infertility in women.With the development of hysteroscopy,the treatment for patients with mild-to-moderate IUA by transcervical resectionof adhesions (TCRA) can achieve a certain effect,but the clinical efficacy for patients with severe IUA or heavy damage of endometrium is poor.Therefore,the adjuvant therapy and cell therapy to promote regeneration of injured endometrium and recovery of the structure and function of endome-trium play an important role and show a broad application prospect in clinical .