关键词: 宫腔粘连, 子宫内膜损伤, 子宫腔整复手术, 宫腔粘连分离, 质量控制标准

Abstract: Intrauterine adhesion（IUA）is caused by endometrial basal layer injury，seriously affecting the reproductive function and physiological health of female patients.With the popularization of uterine cavity reconstruction，the diagnosis rate and treatment effect of IUA have been significantly improved. Hysteroscopy can show the degree and nature of adhesion formation and make it possible to carry out quantitative staging under direct vision. Hysteroscopy adhesionlysis is regarded as the gold standard method for the treatment of intrauterine adhesion，which significantly improves the surgical efficacy and fertility outcomes of patients. However，contrary to the reality，there are still many problems in the clinical implementation of IUA reconstruction surgery. Hospitals of different levels and the surgeons have different outcomes for the treatment，resulting in repeated postoperative adhesions and operations，which seriously affects the overall effect of the treatment of IUA. Therefore，it is very important to establish the quality control system and strengthen the quality standard of IUA surgery for further improving the diagnosis and treatment level of uterine cavity adhesion in gynecology clinic. In accordance with the requirements of the Chinese Expert Consensus on the Clinical Diagnosis and Treatment of Uterine Adhesions，the core content of surgical quality control is to follow evidence-based medical evidence，implement standardized operation and refine perioperative management.

Key words: uterine cavity adhesion/intrauterine adhesion, endometrial basal layer injury, uterine cavity reconstruction surgery, hysteroscopic adhesiolysis, quality control standard