[1]李蓉,曾玖芝,孙燕,等.宫腔镜检查在冷冻胚胎移植前的应用价值[J].中国计划生育和妇产科,2018,(4):65-68.
　LI Rong,ZENG Jiu-zhi,SUN Yan,et al.The value of hysteroscopy in frozen-thawed embryo transfer[J].Chinese Journal of Family Planning & Gynecotokology,2018,(4):65-68.
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宫腔镜检查在冷冻胚胎移植前的应用价值
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《中国计划生育和妇产科》[ISSN:1674-4020/CN:51-1708/R]

卷:
期数:
2018年4期
页码:
65-68
栏目:
论著与临床
出版日期:
2018-04-25

文章信息/Info

Title:
The value of hysteroscopy in frozen-thawed embryo transfer
作者:
李蓉; 曾玖芝; 孙燕; 熊东升; 叶飞; 马容宁; 刘伟信*
四川省妇幼保健院生殖中心
Author(s):
LI Rong;  ZENG Jiu-zhi; SUN Yan; XIONG Dong-sheng; YE Fei; MA Rong-ning; LIU Wei-xin*
Department of Reproductive Center,Sichuan Provincial Hospital for Women and Children, Chengdu Sichuan 610091，P.R.China
关键词:
宫腔镜; 不孕症; 冷冻胚胎移植; 内膜息肉; 宫腔粘连
Keywords:
hysteroscopy; infertility; frozen-thawed embryo transfer;  endometrial polyps; intrauterine adhesion
分类号:
R 7137
摘要:
目的探讨宫腔镜检查在冷冻胚胎移植中的临床价值。方法选取2015年1月至2016年10月四川省妇幼保健院生殖中心278例首次体外受精-胚胎移植（in-vitro fertilization，IVF-ET）失败后拟行冻胚解冻移植（frozen-thawed embryo transfer，FET）的患者，按其是否行宫腔镜检查分为宫腔镜组168例和对照组110例，比较两组妊娠结局，分析宫腔镜组宫腔异常的发生率和异常类型。结果宫腔镜组患者FET后胚胎着床率（382 %）、临床妊娠率（565 %）均高于对照组（302 %、436 %）（P<005）。宫腔镜组168例患者中原发不孕63例，继发不孕105例，共检出79例（470 %）宫腔异常，其中原发不孕组27例（429 %），继发不孕组52例（495 %）；原发不孕组子宫内膜息肉的发生率（190 %，12例）高于继发不孕组（76 %，8例）；继发不孕组宫腔粘连的发生率（124 %，13例）高于原发不孕组(63%，4例)（P均<005）。结论宫腔镜检查改善胚胎着床环境、提高胚胎种植率和临床妊娠率，可作为FET前的常规检查。
Abstract:
ObjectiveTo evaluate the clinical value of hysteroscopy before the frozen-thawed embryo transfer(FET). Methods278 cases who failed in vitro fertilization - embryo transplantation and planned to accept FET in Sichuan Provincial Hospital for Women and Chi

参考文献/References:

［1］Bosteels J,Kasius J,Weyers S,et alHysteroscopy for treating subfertility associated with suspected major uterine cavity abnormalities［J］. Cochrane Database Syst Rev，2013，31 (1):CD009461. ［2］Asaad A, Awwad A. Hysteroscopy: the gold standard diagnostic and therapeutic tool in gynecology［J］. MEJFM,2012,10(9):4-5. ［3］Emre Gksan Pabucu, Ibrahim Yalin, Taylan Bodur,et al. Impact of office hysteroscopy in repeated implantation failure: Experience of a single center［J］. J Turk Ger Gynecol Assoc, 2016, 17(4): 197–200. ［4］Carneiro MM. What is the role of hysteroscopic surgery in the management of female infertility? A review of the literature［J］. Surgery Research And Practice, 2014，2014(11): 105412. ［5］Grimbizis GF, Tsolakidis D, Mikos T, et al. A prospective comparison of transvaginal ultrasound, saline infusion sonohysterography, and diagnostic hysteroscopy in the evaluation of endometrial pathology ［J］. Fertil Steril, 2010, 94(7): 2720-2725. ［6］Bingol B, Gunenc Z, Gedikbasi A, et al. Comparison of diagnostic accuracy of saline infusion sonohysterography, transvaginal sonography and hysteroscopy［J］. J Obstet Gynaecol (Lahore), 2011, 31(1): 54-58. ［7］Pawe R, Micha R, Marek K, et al. Results of 2500 office-based diagnostic hysteroscopies before IVF［J］. Reprod Biomed Online, 2010(20): 689–693. ［8］Nigel Pereira,AC Petrini,JP Lekovich,et al. Surgical Management of Endometrial Polyps in Infertile Women: A Comprehensive Review［J］. Surg Res Pract，2015， 2015（2）: 914390. ［9］CHANG C-y, CHANG Y-t, Chien SC, et al. Factors associated with opera-tive hysteroscopy outcome in patients with uterine adhesion or submu-cosal myoma ［J］. Gynaecol Obstet, 2010, 109(2): 125-127. ［10］Bosteels J, Kasius J, Weyers S, et al. Hysteroscopy for treating subfertility associated with suspected major uterine cavity abnormalities［J］. Cochrane Database Syst Rev, 2013, 1(1): CD009461.

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更新日期/Last Update: 2018-04-25