辅助生殖治疗中宫腔镜手术应用及注意问题

doi:10.6040/j.issn.1671-7554.0.2019.807

摘要/Abstract

摘要： 宫腔病变是导致不孕的常见原因之一,也常常是辅助生殖技术失败的重要原因。宫腔镜技术是诊断和治疗宫腔疾病的“金标准”和主要方法,对提高辅助生殖妊娠率方面有重要价值。然而,随着宫腔镜技术的大范围推广,能量器械所带来的并发症屡见不鲜,甚至非常严重,呼吁内镜医生在有效治疗疾病的同时,更要关注手术的安全性,关注生育力的保护。为此,宫腔镜“冷刀”技术及理念应运而生,通过更加精准的操作,不仅更好地保护子宫内膜,还可在门诊宫腔镜室“即诊即治”,减少住院率,提高医疗效率。目前,各种不同的 “冷刀”技术方法正在不断的探索和拓展之中,有望成为宫腔镜新的发展方向与潮流。

关键词: 宫腔镜手术, 冷刀治疗, 宫腔疾病, 生育力保护

Abstract: Intrauterine lesion is one of the common causes of infertility and may lead to failure of assisted reproductive 山东大学学报 (医学版)57卷10期 -李小娟,等.辅助生殖治疗中宫腔镜手术应用及注意问题 \=-technology(ART). Hysteroscopic technique is the “gold standard” and main approach for the diagnosis and treatment of intrauterine lesions, which can improve the pregnancy rate of ART. However, with the wide application of hysteroscopic techniques, the complications caused by energy devices are increasingly common and serious. Endoscopic doctors are urged to pay more attention to the safety and efficiency of hysteroscopic techniques. To this end, “cold knife” technique emerges. This technique not only protects the endometrium, but also reduces hospitalization rate and improves medical efficiency. At present, various different “cold knife” techniques are constantly being explored and expected to be a new trend of hysteroscopic surgery.

Key words: Hysteroscopic surgery, Cold knife treatment, Intrauterine lesion, Fertility preservation

中图分类号:

R713.4

李小娟,段海霞. 辅助生殖治疗中宫腔镜手术应用及注意问题[J]. 山东大学学报 (医学版), 2019, 57(10): 38-44.

LI Xiaojuan, DUAN Haixia. Application and key points of hysteroscopic surgery in assisted reproductive technology[J]. Journal of Shandong University (Health Sciences), 2019, 57(10): 38-44.

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