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目的:探讨不孕不育患者子宫内膜的病理变化情况。方法:对2006年2月～2010年2月120例不孕女性子宫内膜的病理结果和临床资料进行分析和总结。结果:120例女性不孕症患者中,子宫内膜腺体分泌反应良好34例,子宫内膜腺体分泌反应欠佳59例,子宫内膜腺体分泌不良及无分泌9例,子宫内膜增生反应13例,良性病变或疾病3例。子宫内膜腺体分泌异常(r=0.965,P<0.05)、慢性子宫内膜炎(r=0.725,P<0.05)、子宫内膜增生(r=0.836,P<0.05)与不孕不育具有相关性。不孕不育与各种异常相关性依次为子宫内膜腺体分泌异常>子宫内膜增生>慢性子宫内膜炎,说明在不孕不育的宫腔病因中子宫内膜腺体分泌异常的发生率最高。结论:在不孕不育的宫腔病因中子宫内膜腺体分泌异常的发生率最高,而其中以子宫内膜表现为分泌反应欠佳及增生反应多见。
Objective: To investigate the pathological changes of endometrium in infertility patients. Methods: The pathological findings and clinical data of 120 infertile women with endometrium from February 2006 to February 2010 were analyzed and summarized. Results: Among 120 female infertility patients, 34 cases of endometrial glandular secretion, 59 cases of poor endocrine glandular secretion, 9 cases of endometrial glandular secretion and no secretion, 9 cases of endometrial Thickening reaction in 13 cases, benign lesions or disease in 3 cases. Endometrial gland secretion was abnormal (r = 0.965, P0.05), chronic endometritis (r = 0.725, P <0.05), endometrial hyperplasia (r = 0.836, P <0.05) and infertility Relevant. Infertility and various abnormalities followed by abnormal secretion of endometrial glands> endometrial hyperplasia> chronic endometritis, indicating that infertility in the uterine etiology of endometrial gland secretion abnormalities The highest incidence. Conclusion: The incidence of abnormal endometrial gland secretion is the highest in uterine etiology of infertility, and the endometrium is characterized by poor secretory response and hyperplasia.