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促进子宫内膜再生的先进生物材料。

Advanced Biomaterials for Promoting Endometrial Regeneration.

机构信息

State Key Laboratory of Maternal and Fetal Medicine of Chongqing Municipality, The First Affiliated Hospital of Chongqing Medical University, 400016, Chongqing, P. R. China.

Department of Orthopaedics, Shanghai Key Laboratory for Prevention and Treatment of Bone and Joint Diseases, Shanghai Institute of Traumatology and Orthopaedics, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, 197 Ruijin 2nd Road, Shanghai, 200025, P. R. China.

出版信息

Adv Healthc Mater. 2023 Jun;12(16):e2202490. doi: 10.1002/adhm.202202490. Epub 2023 Feb 24.

Abstract

The endometrium, as the innermost structure of the uterine cavity, plays a direct role in the implantation of the fertilized egg, its conception, and the formation of normal menstruation. In recent years, with the increasing rate of uterus-related surgeries, the damaged endometrium often fails to repair itself to its original state, resulting in a high incidence of menstrual disorders and reduced fertility in women in their reproductive years. Therefore, it is essential to repair the damaged endometrium to reduce menstrual disorders, pregnancy difficulties, and other adverse events. Biomaterials have become an important medical tool for tissue repair due to their excellent biocompatibility, shape plasticity, and functional versatility. Functional biomedical materials play an important role in endometrial repair through rational design, which is expected to fundamentally address the current shortcomings of endometrial repair to maximize repair, maintain female fertility, and solve the problem of medically induced endometrial destruction. This review describes the potential and several aspects of the design, function, and application of different biomedical materials capable of repairing endometrium. In brief, this review provides a comprehensive summary and outlook of biomaterials for endometrial repair.

摘要

子宫内膜作为子宫腔的最内层结构,直接参与受精卵着床、受孕和正常月经的形成。近年来,随着与子宫相关的手术率不断增加,受损的子宫内膜往往无法自行修复到原来的状态,导致生育期妇女月经失调和生育能力下降的发生率较高。因此,修复受损的子宫内膜对于减少月经失调、妊娠困难等不良事件至关重要。生物材料由于其优异的生物相容性、形状可塑性和多功能性,已成为组织修复的重要医疗工具。功能性生物医学材料通过合理的设计在子宫内膜修复中发挥着重要作用,有望从根本上解决目前子宫内膜修复的不足之处,最大限度地进行修复,维持女性生育能力,并解决医源性子宫内膜破坏的问题。本文综述了不同能够修复子宫内膜的生物医学材料的潜在性和设计、功能及应用的几个方面。总之,本文对子宫内膜修复用生物材料进行了全面的总结和展望。

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