中国实用妇科与产科杂志

中国实用妇科与产科杂志

• 专题笔谈 • 上一篇    下一篇

子宫内膜损伤致不孕症的临床处理

  

  1. 南京大学医学院附属鼓楼医院生殖医学中心，江苏 南京210008
  • 出版日期:2020-06-02 发布日期:2020-05-21
  • 通讯作者: 孙海翔

Clinical treatment of infertility caused by endometrial injury.

  1. Reproductive Medical Center，Drum Tower Hospital Affiliated to Nanjing University School of Medicine，Nanjing 210008，China
  • Online:2020-06-02 Published:2020-05-21

摘要： 子宫是妊娠建立与维持的必要器官，子宫内膜损伤将导致不孕和反复流产。宫腔粘连是子宫内膜损伤的最常见形式，治疗的主要目的是恢复宫腔形态与子宫内膜的完整性和容受性，以改善妊娠结局。目前，以宫腔镜手术为核心的综合治疗是有效的治疗手段，但术后复发率特别是在重度宫腔粘连患者中仍很高。文章阐述了宫腔粘连所致不孕症的临床治疗进展。

关键词: 宫腔粘连, 不孕症, 宫腔镜, 干细胞

Abstract: The uterus is an essential organ for the establishment and maintenance of pregnancy.Endometrial damage will lead to infertility and recurrent abortion.Intrauterine adhesions are the most common form of endometrial damage.The main purpose of treatment is to restore the shape of the uterine cavity and the integrity and receptivity of the endometrium，so as to improve the outcome of pregnancy.At present，the comprehensive treatment with hysteroscopy as the core is an effective treatment，but the recurrence rate is still very high，especially in the patients with severe intrauterine adhesions.This article reviews the progress in the clinical treatment of infertility caused by intrauterine adhesions.

Key words: intrauterine adhesions, infertility, hysteroscopy, stem cell

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