防治子宫内膜损伤的策略
摘要： 子宫内膜损伤是指由宫腔内有创诊疗操作、炎性损伤、物理辐射、化学药物损伤及分娩相关憩室等多种因素导致的内膜基底层损伤。应用透明质酸、脱细胞基质、羊膜、富含血小板血浆、间充质干细胞(尤其是基于支架的治疗递送)可减少损伤后瘢痕形成,促进子宫内膜生长修复,为修复受损的子宫内膜,提高其容受性,改善生育结局提供新的治疗思路。
关键词: 子宫内膜损伤, 修复, 再生, 宫腔粘连
Abstract: Endometrial injury is the main fact leading to the damage of endometrial basal layer. It is usually caused by traumatic treatment, inflammatory injury, radiation, chemical drug-related injury, and delivery-related diverticulum. The use of hyaluronic acid, decellularized matrix, amniotic membrane, platelet-rich plasma, mesenchymal stem cells (especially scaffold-based therapeutic delivery) has been proved to reduce post-injury scar formation and promote endometrial growth and repair, which provides a new therapeutic strategy for repairing the damaged endometrium with improved tolerability and fertility outcomes.
Key words: endometrial injury, repairment, regeneration, intrauterine adhesion
中图分类号:
711.74
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