摘要
目的 探讨宫腔镜检查在体外受精-胚胎移植(in vitro fertilization and embryo transfer,IVF-ET)中的临床应用价值. 方法 我院2003年12月～2005年5月因IVF-ET失败行宫腔镜检查130例,并对发现的宫腔病变进行治疗,对镜检结果进行分析. 结果 存在宫腔病变87例(66.9%),其中子宫内膜炎40例(30.8%),子宫内膜息肉23例(17.7%),宫腔粘连20例(15.4%),黏膜下小肌瘤4例(3.1%).67例于宫腔镜检查术后1年内再次行IVF/ICSI或冻胚移植,20例获得临床妊娠,临床妊娠率30%.余20例宫腔镜检查术后10～20个月未行IVF-ET,不避孕未孕. 结论 移植前行宫腔镜检查对于因宫腔因素而导致的IVF-ET失败有一定帮助.
Objective To evaluate the clinical value of hysteroscopy before in vitro fertilization and embryo transfer(IVF-ET).Methods From December 2003 to May 2005,130 patients received hysteroscopy in our hospital because of IVF-ET failure.Their intrauterine diseases were treated by hysteroscopy,and the abnormal tissues were examined pathologically.Results Among the 130 cases,87 had intrauterine diseases(87/130,66.9%) including endometritis in 40(40/130,30.8%),endometrial polyps in 23(23/130,17.7%),intrauterine adhesion in 20(20/130,15.4%),and submucous leiomyoma in 4(4/130,3.1%).In these patients,67 underwent IVF/ICSI or frozen embryo transfer within one year after the hysteroscopy,of which 20 patients achieved pregnancy.The clinical pregnancy rate was about 30%.The other 20 cases did not repeat IVF-ET in 10-20 months after the hysteroscopy,and had no pregnancy without contraception.Conclusion Pre-transfer hysteroscopy is helpful to avoid IVF-ET failure owing to intrauterine diseases.
出处
《中国微创外科杂志》
CSCD
2007年第12期1195-1196,共2页
Chinese Journal of Minimally Invasive Surgery
关键词
宫腔镜
体外受精胚胎移植
评价
Hysteroscopy
In vitro fertilization and embryo transfer(IVF-ET)
Evaluation
