GynecologyGynecologyГинекология2079-56962079-5831Consilium Medicum28567ArticlesСтатьиResearch ArticleModern methods of prevention and treatment of intrauterine adhesions (literature review)Современные методы профилактики и лечения внутриматочных синехий (обзор литературы)KhirievaP MХириеваП М

аспирантка гинекологического отд-ния ФГБУ НЦАГиП им. акад. В.И.Кулакова

dr.khirieva@rambler.ruAdamyanL VАдамянЛ В

академик РАН, д-р мед. наук, проф., зам. дир. по научной работе, рук. гинекологического отд-ния ФГБУ НЦАГиП им. акад. В.И.Кулакова

l_adamyan@oparina4.ruMartynovS AМартыновС А

д-р мед. наук, вед. науч. сотр. гинекологического отд-ния ФГБУ НЦАГиП им. акад. В.И.Кулакова

s_martynov@oparina4.ruV.I.Kulakov Research Center for Obstetrics, Gynecology and Perinatology of the Ministry of Health of the Russian FederationФГБУ Научный центр акушерства, гинекологии и перинатологии им. акад. В.И.Кулакова Минздрава России15102016185VOL 18, NO5 (2016)ТОМ 18, №5 (2016)323609042020Copyright ©; 2016, Consilium MedicumCopyright ©; 2016, ООО "Консилиум Медикум"2016Consilium MedicumООО "Консилиум Медикум"https://creativecommons.org/licenses/by-nc-sa/4.0https://gynecology.orscience.ru/2079-5831/article/view/28567

Intrauterine adhesions (IUA) or Asherman's syndrome - multifaceted condition, which is being diagnosed with increasing frequency in recent years and a major cause of secondary infertility. Despite the widespread adoption of hysteroscopic adhesiolysis, the management of IUAs still presents a big challenge: the recurrence rate could be up to 62.5% in severe IUAs. The literature review highlights the current capabilities of surgical treatment, methods and means of prevention of recurrence, as well as the most promising research into the pathogenesis and treatment of Asherman's syndrome.

Внутриматочные синехии, или синдром Ашермана, - многогранное заболевание, является одной из основных причин вторичного бесплодия. Частота диагностики данной патологии увеличивается в последнее время. Несмотря на широкое внедрение гистероскопического адгезиолизиса, лечение женщин с внутриматочными синехиями по-прежнему представляет собой большую проблему: частота рецидивов при тяжелой степени достигает 62,5%. Обзор литературы освещает современные возможности хирургического лечения, методы и средства профилактики рецидивов, а также наиболее перспективные исследования в области патогенеза и лечения синдрома Ашермана.

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