Neuwirth R S
College of Physicians and Surgeons of Columbia University, St. Luke's-Roosevelt Hospital Center, New York, NY 10025.
Prog Clin Biol Res. 1993;381:187-90.
Asherman's Syndrome was described by Asherman in 1948 as Amenorrhea Traumatica. Since the introduction of hysteroscopic surgery about 1970, an enlarging experience with the repair as well as the induction of intrauterine adhesions has been collected. The pathology and histologic processes involved in surgical repair and induction of scar in the uterus are discussed. The influence of the hormonal milieu as well as the special nature of endometrial repair as observed from the histologic evolution of the endometrium in menstruation are thought to be important factors in the induction and correction of intrauterine scar. While probably a special case, the endometrial model for healing appears to be fundamentally the same as other tissues.
阿谢曼综合征于1948年由阿谢曼描述为创伤性闭经。自1970年左右宫腔镜手术问世以来，人们积累了越来越多关于修复以及诱发宫腔粘连的经验。本文讨论了子宫手术修复及瘢痕形成过程中的病理学和组织学变化。从月经周期中子宫内膜的组织学演变观察到的激素环境的影响以及子宫内膜修复的特殊性质，被认为是诱发和纠正宫腔瘢痕的重要因素。虽然可能是一种特殊情况，但子宫内膜的愈合模式似乎与其他组织基本相同。
