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目的:探讨宫腔镜在体外受精-胚胎移植(IVF-ET)失败后要求再次IVF-ET的患者中运用的价值。方法:选取124例IVF-ET失败后的患者进行宫腔镜检查,对宫腔镜检查发现问题的患者进行对症治疗后并再次行IVF-ET治疗。结果:124例患者中,84例(67.74%)患者发现宫腔内微小病变,包括子宫内膜息肉、宫腔粘连、子宫内膜炎、子宫内膜结核、子宫内膜发育不良、宫腔畸形、宫腔疤痕、子宫黏膜下肌瘤。经过治疗后,62例患者再次行IVF-ET治疗,25例患者获得临床妊娠(40.32%)。宫腔镜检查正常患者40例再次行IVF-ET治疗,11例(27.50%)患者获得临床妊娠。结论:宫腔镜可以发现宫腔内微小病变,并能通过治疗改善宫腔内环境,提高临床妊娠率,宫腔镜检查可作为IVF-ET失败者再次治疗前的常规筛查手段。
OBJECTIVE: To investigate the value of hysteroscopy in patients who require IVF-ET again after failure of IVF-ET. Methods: Hysteroscopy was performed in 124 patients with failure of IVF-ET, and symptomatic treatment of patients with hysteroscopy-detected problems was performed again with IVF-ET. Results: Of the 124 patients, 84 (67.74%) patients had intrauterine micro-lesions including endometrial polyps, intrauterine adhesions, endometritis, endometrial tuberculosis, endometrial dysplasia, , Uterine scar, uterine fibroids. After treatment, 62 patients underwent IVF-ET again, and 25 patients achieved clinical pregnancy (40.32%). Forty patients with normal hysteroscopy were treated with IVF-ET again, and 11 patients (27.50%) received clinical pregnancy. Conclusion: Hysteroscopy can detect intrauterine micro-lesions and can improve the clinical pregnancy rate by improving the intrauterine environment. Hysteroscopy can be used as a routine screening method before IVF-ET failure treatment again.