宫腔镜检查在反复种植失败病例中的临床应用

Clinical Application of Hysteroscopy in Patients with the Repeated Implantation Failures

胚胎反复种植失败(repeated implantation failure,RIF)是阻碍辅助生殖技术临床妊娠率进一步提高的瓶颈。造成反复种植失败的原因主要为子宫内膜容受性低下,其次为胚胎发育缺陷。作为诊断宫腔病变的金标准,宫腔镜检查能直接观察内膜和宫腔的病变,同时对病变部位进行活检和处理,改善宫腔环境,从而提高反复种植失败患者的胚胎种植率和临床妊娠率。

The repeated implantation failure is a key problem affecting further improvement of clinical pregnancy rates. Two main reasons of the repeated implantation failure are low endometrial receptivity and defect embryonic development. Hysteroscopy is generally considered to be the golden standard in the diagnosis of intrauterine pathology. It offers direct visualization of endometrium and uterine cavity, which enables clinicians to diagnose and treat intrauterine pathology during the operation in order to optimize the condition of uterine environment. So hysteroseopy could be an effective tool for improving the IVF outcomes of patients with the repeated implantation failure. We discussed here the clinical applications of hysteroseopy in patients with the repeated implantation failures.