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利用脐带华通氏胶间充质干细胞治疗阿谢曼综合征和子宫内膜萎缩中的子宫内膜再生

Endometrial regeneration in Asherman's syndrome and endometrial atrophy using Wharton's jelly-derived mesenchymal stem cells.

作者信息

Kaczynski Jaroslaw B, Rzepka Jakub K

机构信息

De Cure Medical Research, Warsaw, Poland.

Department of Gynecologic Oncology, Maria Sklodowska-Curie National Research Institute of Oncology, Warsaw, Poland.

出版信息

Ginekol Pol. 2022;93(11):904-909. doi: 10.5603/GP.a2022.0091. Epub 2022 Oct 5.

Abstract

OBJECTIVES

Reconstruction of the endometrium in patients with endometrial atrophy and Asherman's syndrome using Wharton's jelly-derived mesenchymal stem cells (WJ-MSCs).

MATERIAL AND METHODS

Prospective pilot study, with the inclusion of two patients.

RESULTS

After administration of WJ-MSCs into the uterine cavity, endometrial reconstruction was achieved in both patients. Pregnancy was achieved in one of them, after transfer of a frozen embryo, completed by delivery around the due date.

CONCLUSIONS

Endometrial atrophy and Asherman's syndrome, is one of the most frustrating clinical situations we face in assisted reproductive procedures. The use of Wharton's jelly-derived mesenchymal stem cells in restoring the normal function of the endometrium, could become an easy and accessible therapeutic medal, for this endometrial dysfunction, which is so difficult to treat.

摘要

目的

使用脐带来源的间充质干细胞(WJ-MSCs)对子宫内膜萎缩和阿谢曼综合征患者的子宫内膜进行重建。

材料与方法

前瞻性试点研究,纳入两名患者。

结果

将WJ-MSCs注入宫腔后,两名患者均实现了子宫内膜重建。其中一名患者在移植冷冻胚胎后成功怀孕,并在预产期前后顺利分娩。

结论

子宫内膜萎缩和阿谢曼综合征是我们在辅助生殖过程中面临的最令人沮丧的临床情况之一。使用脐带来源的间充质干细胞恢复子宫内膜的正常功能,可能成为治疗这种难以治疗的子宫内膜功能障碍的一种简便易行的治疗手段。

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