期刊文献+

416例不孕症患者宫腔镜检查临床分析 被引量:5

Analysis of 416 cases of diagnostic hysteroscopy of infertility
下载PDF
导出
摘要 目的探讨不孕症患者,尤其有体外受精-胚胎移植(in vitro fertilization and embryo transfer,IVF-ET)失败病史的患者常规宫腔镜检查的必要性。方法应用宫腔镜对416例不孕症患者(其中原发不孕154例,继发不孕262例)进行常规检查,观察不孕症患者的宫腔情况。结果 416例患者中,发现存在宫腔病变211例(占50.7%)。原发性不孕组的子宫粘膜下肌瘤和宫腔粘连的发生率分别为1.3%和6.5%,继发性不孕组的发生率分别为2.3%和27.5%,两组相比,差异有显著意义(P<0.01)。有IVF-ET失败病史的不孕症患者64例,有宫腔病变41例(占64.0%),与总病例的宫腔病变率相比,差异有显著意义(P<0.01)。结论在不孕症患者中,继发性不孕患者和有IVF-ET失败病史患者的宫腔病变发生率较高。因此,对于不孕症患者,尤其是继发性不孕和有IVF-ET失败病史的患者常规行宫腔镜检查是有价值的。 Objective To investigate the necessity of hysteroscopy for infertile women,especially underwent failure of in vitro fertilization and embryo transfer(IVF-ET).Method 416 infertile women who had the hysteroscopy were analyzed,and investigated the uterine case of the infertile patients.Result Of the 416 patients,211 patients had uterine diseases(50.7%).In primary infertility group,the incidence rate of uterine submucous myoma,intrauterine adhesion were 1.3% and 6.5%,respectively,and in secondary infertility groups were 2.3% and 27.5%.64 patients underwent failture of in vitro fertilization-embryo transfer.23 ones had normal uterine(36.0%),the rest all had uterine diseases(64.0%).There was the statistical significance comparing with the incidence rate of uterine diseases of all the 416 patients(P〈0.01).Conclusion There is a high incidence of uterine diseases on infertile women especially the secondary infertile ones,and which even higher on women underwent once or more failure of in vitro fertilization and embryo transfer.
出处 《西部医学》 2012年第10期1926-1928,共3页 Medical Journal of West China
关键词 宫腔镜 不孕症 子宫内膜息肉 宫腔粘连 体外受精-胚胎移植 Hysteroscopy Infertility Endometrial polyp Intrauterine adhesion IVF-ET
  • 相关文献

参考文献4

二级参考文献47

  • 1黄薇.绝经后激素治疗的研究现状[J].中华妇幼临床医学杂志(电子版),2006,2(4):184-187. 被引量:6
  • 2叶红,许先蓉,刘幼昆,刘志华,赵安珍.雌激素受体β与子宫内膜息肉发病关系的研究[J].中华妇产科杂志,2006,41(12):814-816. 被引量:20
  • 3Cohen I, Endometrial pathologies associated with postmenopausal tamoxifen treatment. Gyneeol Oneol, 2004,94(2):256-266.
  • 4Dhana S,Lalitkumar PG,Sergupta J,et al.Immunohistochemical localization of insulin-like growth factors Ⅰ and Ⅱ at the primary implantation site in the Rhesus Monkey. Mol Hum Reprod,2001,7(4):365-371.
  • 5De-Coch H,Ducatelle R,Tilmant K,et al.Possible role for insulin-like growth factor- I in the pathogenesis of cystic endometrial hyperplasia pyometra complex in the bitch. Theriogenology,2002,57(9):2271-2287.
  • 6Hachisuga T, Miyakawa T, Tsujioka H, et al. K-ras mutation in tamoxifen-related endometrial polyps. Cancer,2003,98(9): 1890-1897.
  • 7Kim MR, Kim A, Jo MY, et al. High frequency of endometrial polyps in endometriosis. J Am Assoc Gynecol Laparose, 2003,10(1):46-48.
  • 8Taylor LJ, Jackson TL, Reid JG, et al. The differential expression of oestrogen receptors, progesterone receptors, Bcl-2 and Ki-67 in endometrial polyps. B JOG, 2003,110(9):794-798.
  • 9Hachisuga T, Miyakawa T, Tsujioka H, et al. K-ras mutation in tamoxifen-related endometrial polyps. Cancer, 2003,98(9): 1890-1897.
  • 10Tallini G, Vanni R, Manfioletti G, et al. HMGI-C and HMGI(Y)immunoreactivity correlates with cytogenetic abnormalities in lipomas, pulmonary chondroid hamartomas, endometrial polyps and uterine leiomyomas and is compatible with rearrangement of the HMGI-C and HMGI(Y) genes. Lab Invest, 2000,80(1):359-369.

共引文献54

同被引文献34

引证文献5

二级引证文献11

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部