本文選題：反復(fù)種植失敗 + 宮腔鏡��； 參考：《安徽醫(yī)科大學(xué)學(xué)報(bào)》2017年08期

【摘要】：目的探討宮腔鏡檢查及宮腔搔刮術(shù)在反復(fù)種植失敗患者中應(yīng)用的臨床意義。方法選擇反復(fù)種植失敗的不孕患者205例,根據(jù)是否行宮腔鏡檢查和宮腔搔刮術(shù)分為3組:A組:行宮腔鏡檢查聯(lián)合宮腔搔刮術(shù)(n=101);B組:單純行宮腔搔刮術(shù)(n=39);C組:未予任何干預(yù)措施(n=65)。將A組按照檢查情況分為宮腔形態(tài)正常組(A1組)和宮腔形態(tài)異常組(A2組),分析A組宮腔鏡檢查情況,并比較4組患者再次移植周期的臨床妊娠率、胚胎種植率及不良妊娠率。結(jié)果 A組57.4%宮腔形態(tài)正常(A1),42.6%顯示宮腔內(nèi)微小病變(A2),包括子宮內(nèi)膜炎、子宮內(nèi)膜息肉及增生、宮腔黏連等。A1組、A2組及B組臨床妊娠率與胚胎種植率均明顯高于C組,差異有統(tǒng)計(jì)學(xué)意義(P0.05),但A1、A2及B組間比較無(wú)統(tǒng)計(jì)學(xué)意義。結(jié)論宮腔鏡能顯示子宮腔內(nèi)微小病變,宮腔鏡檢查聯(lián)合宮腔搔刮術(shù)和單純搔刮術(shù)均有助于提高反復(fù)種植失敗患者的臨床妊娠率,但前者與后者相比并未提高臨床妊娠率。
[Abstract]:Objective to investigate the clinical significance of hysteroscopy and curettage in patients with recurrent implant failure. Methods 205 infertile patients who failed to implant repeatedly were divided into 3 groups according to whether or not hysteroscopy and uterine cavity curettage were performed: group A: group B: group C: no intervention measures were given. Group A was divided into normal uterine cavity shape group (A 1 group) and abnormal uterine cavity shape group (A 2 group) according to the examination. The hysteroscopy examination of group A was analyzed, and the clinical pregnancy rate, embryo implantation rate and adverse pregnancy rate of 4 groups were compared. Results the clinical pregnancy rate and embryo implantation rate were significantly higher in group A (57.4%) than that in group C (42.6%), including endometritis, endometrial polyps and hyperplasia, uterine cavity adhesion, and so on. The clinical pregnancy rate and embryo implantation rate in group A 1 were significantly higher than those in group C, and the clinical pregnancy rate and embryo implantation rate in group A 1 were significantly higher than those in group C. The difference was statistically significant (P 0.05), but there was no significant difference between group A 1 A 2 and group B. Conclusion hysteroscopy can show minimal changes in uterine cavity. Hysteroscopy combined with intrauterine curettage and simple curettage can improve the clinical pregnancy rate of patients with repeated implantation failure, but the former has not increased the clinical pregnancy rate compared with the latter.
【作者單位】： 安徽醫(yī)科大學(xué)第一附屬醫(yī)院生殖中心;
【基金】：衛(wèi)生部公益性行業(yè)科研專項(xiàng)(編號(hào):201402004) 國(guó)家自然科學(xué)基金青年基金項(xiàng)目(編號(hào):81501232)
【分類(lèi)號(hào)】：R714.8

【相似文獻(xiàn)】

相關(guān)期刊論文 前10條

1 陳克勤;;頜骨病變性骨腔搔刮術(shù)治療原發(fā)性三叉神經(jīng)痛[J];河北醫(yī)藥;1987年02期

2 程金霖;;竇道49例治療體會(huì)[J];內(nèi)蒙古醫(yī)學(xué)雜志;1989年03期

3 梅淑清;搔刮術(shù)治療面部表皮囊腫30例療效觀察[J];嶺南皮膚性病科雜志;1997年S1期

4 紀(jì)炳;滕淑亭;;穿刺搔刮術(shù)治療囊腫膿腫型痤瘡38例[J];中國(guó)美容醫(yī)學(xué);1998年02期

5 王靜;劉漢萍;羅小平;;陰道鏡下宮頸多點(diǎn)活檢結(jié)合頸管搔刮術(shù)在宮頸病變?cè)\斷中的價(jià)值[J];中國(guó)婦幼保健;2008年01期

6 周云;;竇道搔刮術(shù)治療成人慢性根尖竇道臨床療效觀察[J];工企醫(yī)刊;2007年02期

7 杜迎春;陳麗紅;;“Z”形切口腋毛區(qū)皮瓣修剪搔刮術(shù)成敗的影響因素[J];中國(guó)醫(yī)藥指南;2010年31期

8 舒紹兵,王應(yīng)富,陳建維;瘺管搔刮術(shù)35例臨床療效觀察[J];口腔醫(yī)學(xué);2004年05期

9 焦郭堂;車(chē)構(gòu)堂;;小切口皮下分離搔刮治療腋臭84例的觀察[J];中級(jí)醫(yī)刊;1981年03期

10 陳剛;趙明;;小口搔刮術(shù)治療腋臭158例(摘要)[J];沈陽(yáng)部隊(duì)醫(yī)藥;1996年06期

相關(guān)會(huì)議論文 前3條

1 李荷英;;改良平行小切口輔助搔刮法根治腋臭癥[A];《醫(yī)藥導(dǎo)報(bào)》第八屆編委會(huì)成立大會(huì)暨2009年度全國(guó)醫(yī)藥學(xué)術(shù)交流會(huì)和臨床藥學(xué)與藥學(xué)服務(wù)研究進(jìn)展培訓(xùn)班論文集[C];2009年

2 戴大鵬;孫權(quán);;微創(chuàng)皮下修剪加搔刮術(shù)治療腋臭72例報(bào)告[A];中華醫(yī)學(xué)會(huì)急診醫(yī)學(xué)分會(huì)第十六次全國(guó)急診醫(yī)學(xué)學(xué)術(shù)年會(huì)論文集[C];2013年

3 柴小平;陳華慶;胡海軍;何金潮;何炯富;陳燕兒;;腫脹麻醉小切口皮下剝離搔刮治療腋臭體會(huì)[A];2006年浙江省整形外科與醫(yī)學(xué)美容學(xué)術(shù)會(huì)議論文匯編[C];2006年

，

本文編號(hào)：1917388