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胚物残留是指在流产或分娩后胚胎组织或胎盘组织仍残留在子宫内的情况。其短期并发症包括出血及感染,长期并发症则主要为宫腔粘连。宫腔粘连继而可导致复发性流产、继发不孕、胎盘植入等。在现代医学发展中,越来越多的医生选择使用宫腔镜来进行诊治。本文对国内外论著进行解读分析,探讨宫腔镜应用于治疗胚物残留的时机选择及疗效、术后粘连的影响、对再次妊娠的影响及风险。
Prenatal residue refers to the abortion or postpartum embryonic or placental tissue remains in the uterus. Its short-term complications include bleeding and infection, long-term complications are mainly intrauterine adhesions. Intrauterine adhesions can in turn lead to recurrent miscarriage, secondary infertility, placenta accreta and so on. In the development of modern medicine, more and more doctors choose to use hysteroscopy for diagnosis and treatment. This article analyzes and analyzes the treatises both at home and abroad, and discusses the timing and effect of hysteroscopy in the treatment of the residue of embryo, the effect of postoperative adhesion, the impact and risk on the second pregnancy.