【摘要】 宫腔粘连是子宫内膜损伤引起的严重危害女性生育功能与生理健康的疾病。随着子宫腔整复手术的普及开展,宫腔粘连的确诊率与治疗效果均有了显著提高。宫腔镜能够在直视下明确粘连形成的程度、性质并进行量化分期;宫腔镜粘连分离子宫腔整复手术被誉为治疗宫腔粘连的金标准方法,明显提高了手术疗效和改善患者生育结局。然而,与现实不符的是,目前临床上宫腔粘连子宫腔整复手术的实施仍存在较多问题,不同级别医院和施术医生对治疗的结局并不相同,致使术后再粘连和重复手术屡有发生,严重影响对该病治疗的整体效果。因此,建立宫腔粘连子宫腔整复手术质量控制体系,强化宫腔粘连手术质量标准,对于进一步提高妇科临床宫腔粘连诊疗水平至关重要。按照《宫腔粘连临床诊疗中国专家共识》要求,遵循循证医学证据,实施规范化操作和精细化围术期管理是手术质量控制的核心内容。更多还原

【Abstract】 Intrauterine adhesion(IUA) is caused by endometrial basal layer injury,seriously affecting the reproductive function and physiological health of female patients.With the popularization of uterine cavity reconstruction,the diagnosis rate and treatment effect of IUA have been significantly improved.Hysteroscopy can show the degree and nature of adhesion formation and make it possible to carry out quantitative staging under direct vision.Hysteroscopy adhesionlysis is regarded as the gold standard method for the treatment of intrauterine adhesion,which significantly improves the surgical efficacy and fertility outcomes of patients.However,contrary to the reality,there are still many problems in the clinical implementation of IUA reconstruction surgery.Hospitals of different levels and the surgeons have different outcomes for the treatment,resulting in repeated postoperative adhesions and operations,which seriously affects the overall effect of the treatment of IUA.Therefore,it is very important to establish the quality control system and strengthen the quality standard of IUA surgery for further improving the diagnosis and treatment level of uterine cavity adhesion in gynecology clinic.In accordance with the requirements of the Chinese Expert Consensus on the Clinical Diagnosis and Treatment of Uterine Adhesions,the core content of surgical quality control is to follow evidence-based medical evidence,implement standardized operation and refine perioperative management.更多还原