摘要
目的:通过对85例不孕症患者子宫内膜组织行病理活检,探讨不孕症患者子宫内膜病理变化与不孕症的关系,为临床诊治提供依据。方法:85例不孕症患者诊断性刮宫病理切片行临床病理分析。结果:85例不孕症患者原发性不孕71例,继发性不孕14例4。5例(52.94%)患者子宫内膜腺体分泌性反应,其中,子宫内膜腺体分泌反应良好12例(14.12%1,2/85),分泌反应欠佳、不良及无分泌33例(38.82%,33/85);子宫内膜增生期反应30例(35.29%),增生不足7例(8.24%),单纯性子宫内膜增长过长2例(2.35%),子宫内膜炎1例(1.18%)。结论:不孕症子宫内膜表现为分泌反应欠佳、不良、无分泌及增生性反应多见,不孕症的主要病因为卵巢黄体功能不全、失调和卵巢无排卵。
Objective:To investigate the relationship between pathological changes of endometrium and infertility by pathological biopsy of endometrium of 85 cases infertility patients, and provide bases for clinical diagnosis and treatment Methods:The endometrium of 85 cases infertility patients gotten by diagnostic curettage were analyzed by pathological detection.Results:Among 85 infertility patients, 71 cases were primarily infertility, 14 cases were secondary infertility. The endomelrial glands of 45 cases (52.94%) presented secretory reaction: Among which, the secretory reaction of 12 (14.12%, 12/85) was well, 33 cases (38.82%, 33/85) was poor or no secretion. 30 cases (35.29%) were endometrial hyperplasia reaction; the endometrial hyperplasia of 7 cases (8.24%) was insufficient; 2 cases (2.35%) were simple endometrial hyperplasia; 1 case (1.18%) was endometritis.Conclusions:The main appearances of endometrium of infertility are poor or no secretory reaction and productive reaction; and the main causes of infertility are luteal phase defect, disturbance and anovulation.
出处
《承德医学院学报》
2012年第3期255-257,共3页
Journal of Chengde Medical University
关键词
不孕症
子宫内膜
病理分析
卵巢功能
Infertility
Endometrium
Pathological analysis
Ovarian function