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目的:探讨宫腔镜检查在体外受精-胚胎移植(IVF-ET)中的应用价值。方法:对223例进行IVF-ET治疗失败后的不孕妇女进行宫腔镜检查,以排除是否存在宫腔病变;其中198例进行了内膜活检,对所获资料进行分析。结果:223例患者中,宫腔镜检查结果异常67例(30.05%),其中子宫内膜息肉13例、子宫内膜炎11例、宫腔粘连10例、子宫内膜肥厚8例、子宫内膜肥厚伴息肉7例、子宫内膜薄5例、不完全子宫纵隔3例、大型宫腔(未排壁间肌瘤及子宫腺肌症)3例、黏膜下肌瘤2例、宫腔粘连伴内膜息肉1例、不完全子宫纵隔伴子宫内膜息肉1例、大型宫腔伴子宫内膜肥厚1例、大型宫腔伴黏膜下肌瘤1例、大型宫腔及子宫内膜薄伴子宫内膜炎1例。198例子宫内膜病理活检结果显示,正常子宫内膜174例(87.9%),其中增生期114例,分泌期60例;异常子宫内膜24例(12.1%)。结论:宫腔镜检查应作为不孕症患者IVF-ET助孕治疗前的常规检查。
Objective: To investigate the value of hysteroscopy in the in vitro fertilization-embryo transfer (IVF-ET). Methods: Hysteroscopy was performed in 223 infertile women who failed IVF-ET treatment to rule out the presence of uterine cavity lesions. Among them, 198 cases were examined by endomyocardial biopsy, and the data obtained were analyzed. Results: Of the 223 patients, the results of hysteroscopy were abnormal in 67 cases (30.05%), including 13 cases of endometrial polyps, 11 cases of endometritis, 10 cases of intrauterine adhesions, 8 cases of endometrial hypertrophy, Membranous hypertrophy with polyps in 7 cases, thin endometrial in 5 cases, incomplete uterine mediastinum in 3 cases, large uterine cavity (without intermuscular adenomyosis and adenomyosis) in 3 cases, 2 cases of submucosal fibroids, intrauterine adhesions With endometrial polyps in 1 case, incomplete uterine mediastinal endometrial polyps in 1 case, large uterine with endometrial hypertrophy in 1 case, large uterine cavity with submucous myoma in 1 case, large uterine cavity and endometrial thin companion 1 case of endometritis. 198 cases of endometrial biopsy results showed that 174 cases (87.9%) of normal endometrium, including 114 cases of proliferative phase, secretory phase in 60 cases; abnormal endometrium in 24 cases (12.1%). Conclusion: Hysteroscopy should be used as a routine examination before IVF-ET assisted pregnancy in infertile patients.