宫腔粘连如何确诊和治疗How to diagnose and treat uterine adhesion

关于宫腔粘连的确诊和治疗，陈凤林教授指出：Regarding the diagnosis and treatment of uterine adhesion, Professor Chenfenglin pointed out:

如何诊断How to diagnose

▲经阴道B超、子宫输卵管造影、宫腔声学造影等能帮助发现宫腔粘连，但宫腔镜检查是诊断宫腔粘连的金标准。Vaginal B ultrasound, uterine fallopian tube imaging, and uterine acoustic imaging can help find uterine adhesion, but hysteroscopy is the gold standard for diagnosing uterine adhesion.

怎样治疗How?

●治疗方式有哪些：What are the methods of treatment:

▲宫腔镜下宫腔粘连分解术(钝性分离和电切手术)Hysteroscopic hysterectomy(blunt separation and electrotomy)

▲屏障介质治疗(宫内安置节育器、球囊治疗)Barrier Media Treatment(intrauterine implantation, balloon treatment)

▲口服雌孕激素人工周期Oral estrogen artificial cycle

▲中药治疗Traditional Chinese medicine treatment

患者如何好孕How does the patient get pregnant?

▲轻度宫腔粘连的患者，宫腔镜术后宫腔环境及内膜状况较为理想，可以积极备孕。In patients with mild uterine adhesion, the intrauterine environment and endometrial conditions after hysteroscopy are ideal and can actively prepare for pregnancy.

中、重度宫腔粘连患者或伴有不孕症/胎停史，在术后及用药后内膜往往达不到正常怀孕的理想厚度，可到生殖妇科进行全面评估及治疗。

Patients with moderate and severe uterine adhesion or accompanied by infertility / fetal stop history, after the operation and after the drug use often do not reach the ideal thickness of normal pregnancy, but can be comprehensive evaluation and treatment of reproductive gynecology.