539例体外受精-胚胎移植患者宫腔镜检查结果分析  

Analysis of hysteroscopy results of 539 patients accept in vitro fertilization-embryo transfer

作　　者：彭倩[1] 李玉艳[1] 龙玲[1] 李敏[1] 屈清华[1] 罗虹[1] 

机构地区：[1]第三军医大学西南医院妇产科生殖医学中心,400038

出　　处：《重庆医学》2015年第16期2217-2218,2221,共3页Chongqing medicine

摘　　要：目的回顾性分析体外受精-胚胎移植(IVF-ET)患者的宫腔镜检查情况,探讨宫腔镜检查在IVF-ET中的临床意义。方法收集从2012年1月至2014年5月在该院生殖医学中心行宫腔镜检查的IVF-ET病例539例,根据检查时间分为A组(IVF-ET术前检查组)258例和B组(IVF-ET术后检查组)281例,对宫腔镜检查结果进行回顾性分析。结果所有患者宫腔异常检出率为49.54%,以子宫内膜息肉和复合异常多见,其中B组的宫腔异常检出率显著高于A组(54.10%vs.44.57%,χ2=4.5,P=0.034);宫颈管总异常检出率为18.74%,A、B两组差异无统计学意义(P>0.05)。结论接受IVF-ET助孕治疗的患者宫腔异常率较高,胚胎着床失败患者应该行常规宫腔镜检查。Objective To evaluate uterine cavity of the patients who accept the treatment in vitro fertilization-embryo trans- fer（IVF-ET）and determine the clinical value of hysteroscopy for the patients. Methods Between January 2012 and May 2014,539 cases who accepted the IVF-ET and hysteroseopy, were divided into two grops,group A（258 patients examinated before IVF-ET cycle） and group B（281 patients after the IVF-ET failure）, and retrospective analysis was performed for their uterine cavity and cervix canal data. Results The total incidence of abnormal hysteroseopic findings was 49.54 %, and group B was significantly high- er than that in group A（54.10% vs. 44.57% ,x^2 =4.5;P=0. 043）. The percent of abnormal cervix canal was 18.74% ,and there wasn＇t significant difference between the two groups. Conclusion The incidence of abnormal hysteroscopic findings in IVF-ET is higher than that in normal patients, so hysteroscopy has an important clinical value for diagnosis and evalution, especially for patients with failure of IVF-ET.

关 键 词：受精 体外 胚胎移植 宫腔镜检查 宫腔异常 

分 类 号：R714.8[医药卫生—妇产科学]