子宫内膜活检对不孕症的临床价值

ENDOMETRIAL BIOPSY IN CLINICAL EVALUATION OF INFERTILITY

对97例不孕症妇女(年龄24～38岁),参考以往月经周期或基础体温,选择经前2～3d于宫腔侧壁取一小条内膜组织进行活检.结果表明,卵巢功能正常的42例(43.3%),其中在受孕周期活检的4例,卵巢功能不正常(包括黄体功能不正常、无排卵和闭经)共51例(52.6%);4例未取出子宫内膜;并发子宫肌瘤的2例.提示该法既能反映卵巢的功能状态,又能发现子宫病变,且损伤小,对妊娠无影响.作者认为本方法可作为不孕症的常规检查.

Biopsies were performed on 97 sterile women A small strip of the endometria tissue was taken from the side wall of the uterine cavity 2 or 3 days prior to the menstrual cycle. The results showed normal ovarian function in 42 women(43.3%), of whom 4 had specimens taken during the first month of pregnancy, and abnormal ovarian function ( including abnormal luteal function, non-ovulation and amenorrhed ) in 51 (52.9%). Myoma was found in another 2 women. In the remaining 4 cases (4.1%), attempt to obtain specimens resulted in failure. Biopsy does not only reflect the ovarian function but can find out disease in the uterus. It causes little injury to the endometrium and brings no effect on pregnancy, and is therefore recommended as a routine method for the examination of infertility.