宫腔粘连的症状和原因有哪些?What are the symptoms and causes of uterine adhesion?

陈凤林教授指出：宫腔粘连的症状和原因如下：Professor Chenfenglin pointed out that the symptoms and causes of uterine adhesion are as follows:

宫腔黏连有何表现What are the manifestations of uterine adhesion?

●临床表现：Clinical manifestations:

▲月经量减少甚至闭经。The menstrual cycle is reduced or even amenorrhea.

▲痛经或周期性的下腹疼痛。Menstruation or periodic pain in the lower abdomen.

▲生育方面的影响：不孕、孕期胚胎停育、流产、早产、死胎、异位妊娠、胎盘植入、反复种植失败等。Effects on fertility: infertility, foetal interruption during pregnancy, miscarriage, premature birth, stillbirth, ectopic pregnancy, placenta implantation, failure to replant, etc..

出现这种症状的原因The cause of the symptoms

▲宫腔操作：刮宫术、子宫肌瘤剔除术、子宫纵隔切除术、双子宫矫正术等，其中90%的宫腔粘连是由于过度刮宫引起的。

Palace operation: curettage, uterine myoma removal, uterine mediastinal resection, double uterine correction, etc., 90 % of the cavity adhesion is caused by excessive curettage.

▲炎症因素：子宫结核、产褥期感染、宫内节育器手术后，其他炎症感染如衣原体、淋球菌感染等。

Inflammatory factors: uterine tuberculosis, puerperal infection, intrauterine device surgery, other inflammatory infections such as chlamydia, gonococcal infection and so on.

▲人为因素：因为治疗需要，人为的破坏子宫内膜基底层，使之出现宫腔粘连。如子宫内膜电切除术、放化疗等。

需要明确的一点是常规的宫腔镜检查或子宫内膜搔刮术造成宫腔粘连的几率是很低的。

Anthropogenic factors: Because of the need for treatment, artificial destruction of the endometrial basement, so that it appears uterine adhesion. Such as endometrial electroresection, chemotherapy and so on.

What needs to be clear is that conventional hysteroscopy or endometrial scratching is very low in the probability of uterine adhesion.