宫腔镜在子宫解剖异常复发性流产中的价值

作     者：何荞杉 冯晓玲 

作者机构：黑龙江中医药大学第一临床医学院黑龙江 哈尔滨 黑龙江中医药大学附属第一医院妇科二科黑龙江 哈尔滨 

出 版 物：《临床医学进展》 (Advances in Clinical Medicine)

年 卷 期：2025年第15卷第1期

页      面：684-690页

学科分类：1002[医学-临床医学] 100211[医学-妇产科学] 10[医学] 

主　　题：生殖 复发性流产 子宫结构异常 宫腔镜 妊娠 

摘      要：复发性流产(recurrent spontaneous abortion, RSA)是人类生殖中一项巨大挑战,危害着妇女的身心健康,对于家庭和社会来说都是巨大的伤害,随着现代医学的不断发展,临床上宫腔镜的使用对于解剖结构异常的RSA患者的诊断、治疗发挥着重要的作用。通过宫腔镜的治疗,部分RSA患者可以改变目前的异常结构,可以提高妊娠胎儿的存活率,从而改善妊娠结局,实现胎儿的生育。本文旨在通过综述宫腔镜在子宫结构异常因素导致的RSA患者中的作用,为临床诊疗这一类复发性流产患者提供临床参考与诊疗思路。Recurrent spontaneous abortion (RSA) is a huge challenge in human reproduction, which is harmful to women’s physical and mental health, as well as to the family and society. With the continuous development of modern medicine, the use of hysteroscopy in clinic plays an important role in the diagnosis and treatment of RSA patients with abnormal anatomy. Through hysteroscopic treatment, some patients with RSA can change the current abnormal structure and improve the survival rate of the pregnant fetus, so as to improve the pregnancy outcome and realize the birth of the fetus. This article aims to review the role of hysteroscopy in patients with RSA caused by abnormal uterine structure, and provide clinical reference and treatment ideas for the clinical diagnosis and treatment of this kind of recurrent abortion patients.