宫腔粘连是怎么分类的 ?How to classify intrauterine adhesions?

关于宫腔粘连的分类陈凤林教授指出：Professor Chen Fenglin's classification of intrauterine adhesions points out that:

宫腔粘连依据组织可以分为：可分为膜性粘连、结缔组织性粘连和肌性粘连三种。Uterine adhesions can be divided into three types: membranous adhesions, connective tissue adhesions and muscular adhesions.

宫腔粘连依据面积可以分为5度(欧洲妇科内镜协会分类)：

I度：宫腔内多处有纤维膜样粘连带，两侧宫角及输卵管开口正常;

II度：子宫前后壁间有致密的纤维素粘连，两侧宫角及输卵管开口可见;

III度：纤维索状粘连致部分宫腔及一侧宫角闭锁;

IV度：纤维索状粘连致部分宫腔及两侧宫角闭锁;

Va度：粘连带瘢痕化致宫腔极度变形及狭窄;Vb度：粘连带瘢痕化致宫腔完全消失。

Uterine adhesions can be divided into 5 degrees according to the area (classified by the European Gynecological Endoscopy Association):

Degree I: Fibrous membranous adhesions were found in many parts of uterine cavity, and the corners of uterus and the opening of fallopian tube were normal on both sides.

Degree II: There was dense cellulose adhesion between the anterior and posterior walls of the uterus. The corners of the uterus and the opening of the fallopian tube were visible on both sides.

Grade III: Fibrous cord-like adhesions leading to partial uterine cavity and lateral angle atresia;

IV degree: fibrous cord-like adhesions caused partial uterine cavity and bilateral angle atresia.

Va degree: hyperdeformity and stricture of uterine cavity caused by scarring of adhesions; Vb degree: scarring of adhesions leads to complete disappearance of uterine cavity.