Abstract: Endometrial injury diseases are closely associated with infertility and poor pregnancy outcomes，and intrauterine adhesions are the most common clinical manifestation of it.The main targets of treatment are to restore the morphology of uterine cavity and promote endometrial function reconstruction.In this paper，we analyze its main clinicopathological features and its relationship with pregnancy，explore effective treatment options，and provide pregnancy guidance and management strategies for patients with fertility requirements，hoping to help and ultimately achieve the protection of female fertility improve the pregnancy rate and live birth rate of patients.

Key words: endometria injury, intrauterine adhesions, fertility management, intrauterine adhesidysis

摘要： 子宫内膜损伤性疾病与不孕和不良妊娠结局密切相关，临床常表现为宫腔粘连，恢复宫腔形态、促进子宫内膜功能重建是治疗的主要目的。文章通过分析子宫内膜损伤性疾病的主要临床病理特点及其与妊娠的关系，探讨有效治疗方案，为有生育要求的患者提供妊娠指导和管理策略，希望有助于实现对女性生育力的保护，最终提高患者妊娠率及活产率。

关键词: 子宫内膜损伤, 宫腔粘连, 生育管理, 宫腔粘连分离术