摘要
宫腔粘连是一种由于多种原因导致子宫内膜基底层的损伤,子宫内膜再生修复障碍并伴有纤维化的常见妇科病。此病症严重影响女性的生殖健康,特别是重度宫腔粘连会影响妊娠相关疾病的发生、发展过程,进而危害孕产妇和胎儿的健康,其主要治疗方式以宫腔镜宫腔粘连分离术为主,通过这种微创技术可有效解除粘连带,恢复宫腔正常形态,提高自然受孕概率,但术后妊娠并发症的发生率明显增加。因此,本文对宫腔粘连与妊娠相关疾病及妊娠结局关系研究现状进行综述,旨在了解宫腔粘连与妊娠相关疾病的机制,逐渐明确宫腔粘连对妊娠的具体影响,探讨宫腔粘连对孕产妇及胎儿健康的长远影响,为临床医生制订妊娠至分娩的方案、优化治疗效果、改善患者的妊娠结局提供重要参考依据。
Uterine adhesions are a common gynecological disease characterized by damage to the basal layer of the endometrium,impaired endometrial regeneration and repair,and fibrosis due to various reasons.This disease seriously affects women's reproductive health,especially severe intrauterine adhesions that can affect the occurrence and development of pregnancy related diseases,thereby endangering the health of pregnant women and fetuses.The main treatment method is hysteroscopic intrauterine adhesion separation surgery,which can effectively remove the adhesion band,restore the normal shape of the uterine cavity,and improve the chance of natural conception.However,the incidence of postoperative pregnancy complications is significantly increased.Therefore,this article reviews the current research status of the relationship between intrauterine adhesions and pregnancy related diseases and pregnancy outcomes,aiming to understand the mechanism of intrauterine adhesions and pregnancy related diseases,gradually clarify the specific impact of intrauterine adhesions on pregnancy,explore the long-term effects of intrauterine adhesions on maternal and fetal health,and provide important reference for clinical doctors to formulate pregnancy to delivery plans,optimize treatment effects,and improve patient pregnancy outcomes.
作者
徐丽娜
魏倩倩
XU Lina;WEI Qianqian(Department of Nursing,Heze Medical College,Shandong Province,Heze274000,China;Department of Quality Control,Heze Sixth People's Hospital,Shandong Province,Heze274000,China)
出处
《中国当代医药》
2025年第15期189-194,共6页
China Modern Medicine
关键词
宫腔粘连
子宫内膜
妊娠
宫腔粘连分离术
Intrauterine adhesions
Endometrium
Pregnancy
Separation of intrauterine adhesions
