国际妇产科学杂志

国际妇产科学杂志 ›› 2014, Vol. 41 ›› Issue (5): 542-544.

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宫腔镜对体外受精常见宫腔影响因素的评估和治疗结局

薛翔，赵金燕   

  1. 710004 西安交通大学医学院第二附属医院
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2014-10-15 发布日期:2014-10-15

Evaluation and Treatment Outcomes of Hysteroscopy on Common Intrauterine Factors in IVF

XUE Xiang，ZHAO Jin-yan   

  1. The Second Affiliated Hospital of Medical College，Xi′an Jiao Tong University，Xi′an 710004，China
  • Received:1900-01-01 Revised:1900-01-01 Published:2014-10-15 Online:2014-10-15

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摘要： 不孕症是指妇女原发不能受孕，也指妇女能受孕但不能妊娠至足月，该问题是困扰很多家庭的一大难题。因对其定义不同而导致不孕症发病率不同，不孕症的原因多种多样，而子宫腔内病变是常见的干扰不孕症患者胚胎植入的原因之一，因此对子宫腔内病变的评估是评价不孕症的核心部分。目前认为宫腔镜是最准确的诊断宫腔内病变的检查。为了优化生育治疗，越来越普遍地将宫腔镜检查作为体外受精（IVF）之前的常规检查，并且宫腔镜可同时对宫腔内病变进行治疗，使妊娠结局得以改善。阐述宫腔镜对接受IVF周期前几种最常见宫腔因素的评估及治疗前后对妊娠结局的影响。

关键词: 宫腔镜, 受精, 体外, 肌瘤, 子宫内膜

Abstract: Infertility not only refers to the inability to conceive offspring primarily, but also refers to the state of a woman who is unable to carry a pregnancy to full term, which is a great problem for many families. Prevalence of infertility varies depending on the definition, there are many reasons causing infertility. While uterine cavity abnormality is one of the common reasons interfering embryo implantation for infertility patients, so the assessment of abnormal uterine lesions is becoming a core part of the evaluation of infertility. As hysteroscopy is considered to be the most accurate diagnosis of intrauterine lesions, in order to optimize fertility treatment, the examination is increasingly performed before IVF as a common treatment and the abnormal uterine lesions found during the hysteroscopic examination can be resected simultaneously which improve the pregnancy outcomes. This article mainly focuses on assessment on several mostly common intrauterine factors before undergoing IVF cycle by hysteroscopy and impact on pregnancy outcomes in IVF after hysteroscopic resection.

Key words: Hysteroscopes, Fertilization in vitro, Myoma, Endometrium