国际妇产科学杂志

国际妇产科学杂志 ›› 2014, Vol. 41 ›› Issue (1): 18-21.

• 综述 • 上一篇    下一篇

子宫内膜异位症与不孕症

甄鑫，孙海翔   

  1. 210000 南京大学医学院附属鼓楼医院生殖医学中心
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2014-02-15 发布日期:2014-02-15
  • 通讯作者: 孙海翔

Endometriosis and Infertility

ZHEN Xin，SUN Hai-xiang   

  1. Reproductive Medicine Center，Drum Tower Hospital of Nanjing University Medical School，Nanjing 210000，China
  • Received:1900-01-01 Revised:1900-01-01 Published:2014-02-15 Online:2014-02-15
  • Contact: SUN Hai-xiang

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摘要： 子宫内膜异位症（EMs）在育龄妇女中发病率较高，较易引起患者生育能力下降乃至不孕。目前这类不孕症的治疗方式主要包括手术治疗和多种辅助生殖技术（ART），包括体外受精（IVF）、促排卵治疗、宫内受精等。传统的药物加外科治疗方式对不孕症的治疗效果相当有限，因此越来越多的证据显示ART应该作为EMs相关不孕症患者的首选治疗，其中IVF因其相对较高的成功率备受关注。但是诸如IVF前的卵巢调控方式、妊娠后如何防治疾病本身带来的妊娠期并发症等诸多悬而未决的问题需要大型的研究来提供新的理论支持。

关键词: 子宫内膜异位症, 不育, 女（雌）性, 生殖技术, 辅助, 受精, 体外

Abstract: Endometriosis is common in reproductive-age women and often associated with impaired fecundity and infertility. This endometriosis-related infertility could be treated with surgery or different kinds of assisted reproduction techniques inculding in vitro fertilization，ovarian hyperstimulation and intrauterine insemination. Due to the limited effect of traditionaltreatment ，assisted reproduction techniques have been used as first-choice treatment in these patients，especially the in vitro fertilization techinique which could offer a relatively high pregnancy rate. But large trials are still warranted for ovarian funtion control，endometriosis-related pregnant complications，etc.

Key words: Endometriosis, Infertility, female, Reproductive techniques, assisted, Fertilization in vitro