宫腔镜在体外受精-胚胎移植中的诊疗价值探讨  

Clinical application of hysteroscopy in treatment of in vitro fertilization and embryo transfer

作　　者：邹淑花[1] 王晓燕[1] 

机构地区：[1]青岛市妇女儿童医疗保健中心,266012

出　　处：《中国计划生育学杂志》2010年第4期228-230,共3页Chinese Journal of Family Planning

摘　　要：目的:探讨宫腔镜在体外受精-胚胎移植(IVF-ET)中的诊疗价值。方法:回顾性分析行宫腔镜检查的IVF-ET病例178例,根据检查原因分为A组(IVF-ET周期前常规检查)、B组(1次或多次ET未孕者)、C组(ET后早期自然流产者)、D组(ET后异位妊娠者)。比较4组宫腔镜检查结果,并对其中宫腔异常者进行治疗,观察治疗后的IVF-ET妊娠结局。结果:B、C、D组宫腔镜检查异常率高于A组(P<0.05),C组中宫腔粘连发生率显著高于其他组(P<0.01),而A、B、D组宫腔粘连发生率差别无统计学意义(P>0.05)。异常宫腔经治疗后妊娠率为35.2%,异位妊娠率8.0%,早孕自然流产率4.0%。结论:宫腔镜诊断可作为IVF-ET前的常规检查手段,IVF-ET前行宫腔镜诊疗,有望进一步提高活胎分娩率。Objective：To explore the clinical value of hysteroscopy in the treatment of in vitro fertilization and embryo transfer（IVF-ET）.Methods：The data of 178 patients undergoing hysteroscopy were retrospectively analyzed.The patients were divided into four groups according to the reasons for examination：group A（examination before IVF-ET cycle）,group B（fail to conceive after transfer）,group C（early abortion after transfer）,and group D（ectopic pregnancy after IVF-ET）.The hysteroscopic findings were compared among these groups.The clinical outcomes of IVF-ET treatment in the patients undergoing hysteroscopic therapy were evaluated.Results：The positive rate of abnormal hysteroscopic findings in group B,C and D were higher than that in group A（P0.05）.The incidence of intrauterine adhesion in group C was the highest in all the groups（P0.01）.But there were no differences in the incidences of intrauterine adhesion among group A,B and D（P0.05）.After hysteroscopic treatment the clinical pregnancy rate was 35.2%,the ectopic pregnancy rate was 8.0%,and the early abortion rate was 4.0%.Conclusion：The hysteroscopic examination should be routinely used before IVF-ET treatment in order to improve the live birth rate.

关 键 词：体外受精-胚胎移植 妊娠结局 宫腔镜 

分 类 号：R714.8[医药卫生—妇产科学]