American Society for Reproductive Medicine, Birmingham, Alabama.
Fertil Steril. 2019 Sep;112(3):458-463. doi: 10.1016/j.fertnstert.2019.06.027.
Postoperative adhesions are a natural consequence of surgical tissue trauma and healing and may result in infertility, pain, and bowel obstruction. Adherence to microsurgical principles and minimally invasive surgery may help to decrease postoperative adhesions. Some surgical barriers have been demonstrated to be effective for reducing postoperative adhesions, but there is no substantial evidence that their use improves fertility, decreases pain, or reduces the incidence of postoperative bowel obstruction. This document replaces the document, "Pathogenesis, consequences, and control of peritoneal adhesions in gynecologic surgery: a committee opinion," last published in 2013.
术后粘连是手术组织创伤和愈合的自然结果，可能导致不孕、疼痛和肠梗阻。遵循显微外科原则和微创手术可能有助于减少术后粘连。一些手术屏障已被证明可有效减少术后粘连，但没有确凿证据表明其使用可提高生育能力、减轻疼痛或降低术后肠梗阻的发生率。本文件取代了 2013 年发表的“妇科手术中腹膜粘连的发病机制、后果和控制：委员会意见”。
