重视宫腔镜子宫腔疾病诊疗中的规范化与个体化问题

段华

中国实用妇科与产科杂志 ›› 2026, Vol. 42 ›› Issue (1) : 35-40.

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中国实用妇科与产科杂志 ›› 2026, Vol. 42 ›› Issue (1) : 35-40. DOI: 10.19538/j.fk2026010109
专题笔谈

重视宫腔镜子宫腔疾病诊疗中的规范化与个体化问题

作者信息 +

Paying attention to the standardization and individualization issues in the diagnosis and treatment of hysteroscopic uterine cavity diseases

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文章历史 +

摘要

子宫腔疾病对女性生育功能与生理健康均造成严重影响,已经成为妇科临床、生育调节与辅助生殖技术领域日益关注的话题。宫腔镜经自然腔道施术,对子宫腔疾病进行直视诊断与微创整复治疗,以其定位精准、不易遗漏微小病灶、在去除病灶同时能够有效保护正常子宫内膜与肌壁组织、实现保留器官与保护功能的目的,在各类子宫腔占位病变、子宫内膜病变、子宫损伤性疾病、子宫畸形以及早期子宫内膜恶性肿瘤诊疗中广泛应用,被誉为子宫腔疾病诊断与治疗的微创方法与标准术式。近年来,随着对子宫腔疾病的重视和子宫腔整复手术的开展,如何把控临床诊疗中的规范化使之有序普及、关注不同人群手术的个体化选择、围术期管理以及降低手术并发症等,已经成为临床亟待解决的问题。

Abstract

Uterine cavity diseases have a serious impact on women's reproductive function and physiological health,and have become an increasingly important topic of concern in gynecological clinical practice,fertility regulation,and assisted reproductive technology. Hysteroscopy is performed through natural channels for direct diagnosis and minimally invasive treatment of uterine cavity diseases. It is widely used in the diagnosis and treatment of various uterine cavity occupying lesions,endometrial lesions,uterine injury diseases,uterine malformations,and early endometrial malignant tumors due to its precise positioning,unlikelihood in missing small lesions,effective protection of normal endometrium and muscle wall tissue while removing lesions,achieving the goal of preserving organs and protecting functions. It is known as a minimally invasive method and standard procedure for the diagnosis and treatment of uterine cavity diseases. In recent years,with the increasing attention to uterine cavity diseases and the development of uterine cavity reconstruction surgery,how to control the standardization of clinical diagnosis and treatment to promote it in an orderly manner,pay attention to individualized surgical choices for different populations,perform perioperative management,and reduce surgical complications has become an urgent problem to be solved in clinical practice.

关键词

子宫腔疾病 / 诊疗 / 规范化 / 个体化

Key words

uterine cavity diseases / diagnosis and treatment / standardization / individualization

引用本文

导出引用
段华. 重视宫腔镜子宫腔疾病诊疗中的规范化与个体化问题[J]. 中国实用妇科与产科杂志. 2026, 42(1): 35-40 https://doi.org/10.19538/j.fk2026010109
DUAN Hua. Paying attention to the standardization and individualization issues in the diagnosis and treatment of hysteroscopic uterine cavity diseases[J]. Chinese Journal of Practical Gynecology and Obstetrics. 2026, 42(1): 35-40 https://doi.org/10.19538/j.fk2026010109
中图分类号: R711.74   

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