宫腔粘连术后妊娠1例诊疗体会并文献复习
Diagnosis and Treatment Experience of Pregnancy Following Intrauterine Adhesion Surgery: A Case Report and Literature Review
DOI: 10.12677/acm.2024.1441207, PDF,   
作者: 刘 晨:青岛大学医学院,山东 青岛;袁 芳*:青岛大学附属医院妇科,山东 青岛
关键词: 宫腔粘连继发不孕症宫腔镜Intrauterine Adhesion Secondary Infertility Hysteroscope
摘要: 目的:回顾性分析宫腔粘连术后妊娠1例并结合相关文献讨论宫腔粘连的治疗方式及对妊娠结局的影响。方法:以病例报告的方式,复习国内外文献报道,进一步分析宫腔粘连的治疗方式及对妊娠结局的影响。结论:宫腔粘连以宫腔镜手术为主要治疗方式,术后辅助应用药物和球囊等促进子宫内膜修复、预防复发,其导致的不孕在治疗后可恢复生育能力。
Abstract: Objective: To retrospectively analyze 1 case of spontaneous pregnancy after intrauterine adhesions and discuss the treatment of intrauterine adhesions and its influence on pregnancy outcome. Methods: By means of case report, the literature at home and abroad was reviewed to further analyze the treatment of uterine adhesions and its influence on pregnancy outcome. Conclusion: Hysteroscopic surgery is the main treatment for intrauterine adhesions. Postoperative adjuvant use of drugs and balloons can promote endometrial repair and prevent recurrence, and the infertility caused by it can restore fertility after treatment.
文章引用:刘晨, 袁芳. 宫腔粘连术后妊娠1例诊疗体会并文献复习[J]. 临床医学进展, 2024, 14(4): 1666-1669. https://doi.org/10.12677/acm.2024.1441207

参考文献

[1] Asherman, J. (1948) Amenorrhoea Traumatica (Atretica). The Journal of Obstetrics and Gynaecology of the British Empire, 55, 23-30. [Google Scholar] [CrossRef] [PubMed]
[2] 陈丽, 杨霞. 中重度宫腔粘连的高危因素分析[J]. 实用妇产科杂志, 2023, 39(8): 599-602.
[3] Lee, W.L., Liu, C.H., Cheng, M., et al. (2021) Focus on the Primary Prevention of Intrauterine Adhesions: Current Concept and Vision. International Journal of Molecular Sciences, 22, 5175. [Google Scholar] [CrossRef] [PubMed]
[4] 芮红苇, 罗永梅. 宫腔镜检查在不孕症诊断中的临床价值[J]. 实用妇科内分泌电子杂志, 2021, 8(18): 82-85.
[5] 刘芳, 王美容. 经阴道超声成像和宫腔镜在宫腔粘连中的诊断价值[J]. 医学影像学杂志, 2016, 26(6): 1138-1140.
[6] 中华医学会妇产科学分会. 宫腔粘连临床诊疗中国专家共识[J]. 中华妇产科杂志, 2015(12): 881-887.
[7] 吕琳. 宫腔镜下两种手术方式治疗宫腔粘连的效果观察[J]. 浙江医学, 2023, 45(5): 504-507 513.
[8] 胡芝仙, 陶丽君. 宫腔镜下电切术与冷刀术治疗宫腔粘连的临床效果观察[J]. 浙江创伤外科, 2023, 28(4): 773-776.
[9] 方利红, 江丽娟. 宫腔镜冷刀微剪分离术治疗重度宫腔粘连的临床治疗效果[J]. 浙江创伤外科, 2023, 28(1): 98-100.
[10] 刘慧星, 宾力, 朱雪红, 等. 宫腔粘连分离术后雌激素辅助治疗的研究进展[J]. 国际妇产科学杂志, 2023, 50(6): 618-622.
[11] Alawadhi, F., Du, H., Cakmak, H., et al. (2014) Bone Marrow-Derived Stem Cell (BMDSC) Transplantation Improves Fertility in a Murine Model of Asherman’s Syndrome. PLOS ONE, 9, e96662. [Google Scholar] [CrossRef] [PubMed]
[12] 张思雯, 王厚梅, 邢明月, 等. 间充质干细胞联合雌激素治疗宫腔粘连的研究进展[J]. 广西医学, 2023, 45(7): 837-842.
[13] 郭意欣, 关婷. 人脐带间充质干细胞移植联合雌激素治疗大鼠宫腔粘连的实验研究[J]. 中国妇产科临床杂志, 2019, 20(6): 523-527.
[14] 方丽娟, 潘惠珍. 宫腔镜下宫腔粘连分离术后粘连复发因素分析及预防对策[J]. 中国计划生育学杂志, 2023, 31(11): 2683-2687.
[15] Qu, S. and Zhou, P. (2021) Post-Hysteroscopy Duration of the Cook Balloon Uterine Stent Effect on the Re-Adhesion Formation. Journal of the College of Physicians and Surgeons Pakistan, 31, 1163-1167. [Google Scholar] [CrossRef] [PubMed]
[16] Zhou, Q., Shi, X., Saravelos, S., et al. (2021) Auto-Cross-Linked Hyaluronic Acid Gel for Prevention of Intrauterine Adhesions after Hysteroscopic Adhesiolysis: A Randomized Controlled Trial. Journal of Minimally Invasive Gynecology, 28, 307-313. [Google Scholar] [CrossRef] [PubMed]
[17] Carbonnel, M., Pirtea, P., De Ziegler, D., et al. (2021) Uterine Factors in Recurrent Pregnancy Losses. Fertility and Sterility, 115, 538-545. [Google Scholar] [CrossRef] [PubMed]