子宫内膜息肉对不孕患者临床妊娠的影响

Endometrial Polyps Impact on Clinical Pregnancy Infertility

目的探讨子宫内膜息肉对不孕患者临床妊娠的影响。方法收集我院2013年1月至2014年1月收治的因不孕行宫腔镜检查及治疗成功的300例患者的临床资料,根据既往助孕情况分为未助孕组与助孕失败组,并根据宫腔镜检查再将各组分为正常宫腔与息肉摘除两个亚组,分别比较两组内正常宫腔、息肉摘除亚组的临床妊娠率,根据患者的年龄将其分为">35岁"组与"≤35岁"组,统计不同年龄段的息肉发生及息肉摘除后妊娠的情况。结果助孕失败组内正常宫腔亚组妊娠率明显低于息肉摘除亚组,具有统计学意义(P<0.05);未助孕患者在不同年龄段息肉发生率具有统计学意义(P<0.05)。结论子宫内膜息肉是影响不孕的相关因素之一,亦是影响助孕过程胚胎种植的独立因素,对于≤35岁的未助孕及各年龄段助孕失败的患者,应早行宫腔镜检查,如有子宫内膜息肉摘除后可提高临床妊娠率。

Objective To investigate the effect of endometrial polyps in infertile patients with clinical pregnancy. Methods Our hospital from January 2013 to January 2014 due to infertility treatment success hysteroscopy and clinical data of patients admitted to 300 cases, according to previous progesterone progesterone group and divided into 2 groups assisted reproductive failure and in accordance with hysteroscopy and then divided into groups with normal intrauterine polyps two subgroups were compared between two groups within the normal intrauterine polyps clinical pregnancy subgroups, according to the patient＇s age will be divided into ＂〉 35-year-old ＂ group and the ＂〈 35 years of age ＂ group, statistics polyps of different ages and polyps occur after pregnancy. Results Failure group within the normal uterine progesterone subgroup pregnancy rate was significantly lower than polyps subgroup was statistically significant（P〈0.05）; are not statistically significant in patients with progesterone at different ages polyp incidence（P〈0.05）. Conclusion Endometrial polyps are one of the relevant factors affecting infertility, assisted reproduction is an independent factor affecting the process of embryo implantation, for patients 〈 35 years of age are not progesterone progesterone and its failure should be early intrauterine endoscopy, if after removal of endometrial polyps can improve the clinical pregnancy rate.