胚物残留与宫腔粘连的诊疗研究进展及相关性
Progress and Correlation inDiagnosis and Treatment of Embryo Residue and Intrauterine Adhesions/ ZHANG Jiayi,YANG Xue,HUANG Xiaowu.//Medical Innovation of China,2025,22(19): 162-166
[Abstract]Retained products of conception refers to part of the embryo or placental tissue remaining in the uterine cavityafter abortion,inductionoflaborordelivery,whichcan lead to long-term iregularvaginal bleeding, abnormalsecretions and other symptoms.Intrauterine adhesion is a gynecological disease in which the basal layer of endometriumisdamageddue to infectionand intrauterinemechanicaloperation,andtherepair siteoffibrous scartissue isadherentandblocked.Inrecent years,the diagnosisand treatment technology hasbeen improved,the incidence of these twodiseases has gradualyincreased,and moreandmore evidenceshowsthatretainedproducts of conception can beone oftherisk factors,leading to theoccurrence of uterine adhesions.Thisarticlereviewed the relevant literature at home andabroad,summarized the research progress and correlation of the diagnosis and treatment of retained products ofconception and intrauterine adhesions,and provided guidance for prevention and diagnosis.
[Key Words] Retained products of conception Intrauterine adhesion Pregnancy complication Uteroscope
First-author'saddress: The Eighth Clinical School of Medicine,Capital Medical University,Beijing 100038, China
doi:10.3969/j.issn.1674-4985.2025.19.037
胚物残留(retained products of conception,RPOC)是指在人工流产、引产和足月分娩后,部分胎盘绒毛组织、胎膜、胚芽及骨骼碎片残留于子宫腔内[,是一种妊娠相关并发症,临床上并不罕见,发病率为 1%~6%[2] 。(剩余10411字)