子宫腔整复手术宫腔适形屏障装置的选择与临床应用OA
Selection and clinical application of intrauterine stent devices in uterine cavity reconstruction surgery
子宫内膜损伤宫腔粘连(IUA)多由宫腔操作致内膜基底层受损引发,常表现为月经异常与生育功能下降.中国不孕人群中IUA占比高达36.6％,严重影响患者健康与人口发展.宫腔镜宫腔粘连分离子宫腔整复术为标准术式,但重度IUA患者术后再粘连率高,疗效受限.如何预防术后再粘连、减少创面炎症反应、促进内膜修复是临床关键.新型宫腔适形球囊屏障装置为解决该问题提供新策略.文章就子宫腔整复手术宫腔适形屏障装置的选择与应用展开综述,为临床应用提供参考.
Intrauterine adhesions(IUA)secondary to endometrial injury are mostly caused by damage to the basal layer of the endometrium due to intrauterine procedures,and are often characterized by menstrual disorders and impaired fertility.IUA accounts for up to 36.6％of infertility cases in China,seriously affecting patients' health and national population development.Transcervical resection of adhesions is the standard treatment,but the high re-adhesion rate in severe cases limits its efficacy.Reducing postoperative re-adhesion and promoting endometrial repair are critical in clinical practice.Novel intrauterine barrier devices provide new strategies.This article reviews the selection and application of intrauterine stents in uterine cavity reconstruction surgery to provide references for clinical use.
陈芳;郭银树;段华
首都医科大学附属北京妇产医院北京妇幼保健院妇科微创中心,北京 100006首都医科大学附属北京妇产医院北京妇幼保健院妇科微创中心,北京 100006首都医科大学附属北京妇产医院北京妇幼保健院妇科微创中心,北京 100006
医药卫生
子宫内膜损伤宫腔粘连子宫腔整复宫腔屏障装置
endometrial injuryintrauterine adhesionsuterine cavity reconstructionintrauterine barrier device
《中国实用妇科与产科杂志》 2026 (3)
277-280,4
Supported by Beijing Municipal Science& Technology Commission(Z211100002921015) 首都临床诊疗技术研究及应用转化项目(Z211100002921015)
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