国际生殖健康/计划生育杂志

国际生殖健康/计划生育 ›› 2016, Vol. 35 ›› Issue (3): 237-240.

• 综述 • 上一篇    下一篇

宫腔病变与不孕症的关系及诊治进展

高蜀君，隋龙   

  1. 200011 上海 ，复旦大学附属妇产科医院 宫颈疾病诊疗中心 上海市女性生殖内分泌相关疾病重点实验室
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2016-05-15 发布日期:2016-05-15
  • 通讯作者: 隋龙

Uterine Cavity Lesions and Infertility

GAO Shu-jun，SUI Long   

  1. Obstetrics and Gynecology Hospital of Fudan University，Center of Cervical Diseases Diagnosis and Treatment，Shanghai Key Laboratory of Female Reproductive Endocrine Related Diseases , Shanghai 200011，China
  • Received:1900-01-01 Revised:1900-01-01 Published:2016-05-15 Online:2016-05-15
  • Contact: SUI Long

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摘要： 不孕症中10%～15%为宫腔因素所致，最为常见的原因是子宫内膜息肉、子宫黏膜下肌瘤、子宫纵隔和宫腔粘连，其他如慢性子宫内膜炎、子宫内膜结核、宫腔妊娠物残留等，可引起宫腔形态失常、收缩异常、异常血管形成、炎症反应、内膜容受性下降等，影响受孕和导致流产发生。适时而恰当地给予子宫性不孕、不明原因不孕症患者宫腔镜检查和治疗，可以显著改善这部分人群的妊娠率和妊娠结局。

关键词: 子宫疾病, 不育, 女（雌）性, 宫腔镜

Abstract: About 10% to 15% of infertile women are related to the uterine cavity abnormalities. The common uterine cavity lesions include endometrial polyps, submucous fibroids, uterine septum and intrauterine adhesions. Other lesions are often found including chronic endometritis, tuberculosis, retained products of conception, and so on. These lesions may result incavity morphological abnormalities, dysfunctional uterine contractility, abnormal uterine vascularization, chronic endometrial inflammation, and the impaired endometrial receptivity, which affect the fertilization, implantation and pregnancy maintenance. Diagnostic and operative hysteroscopy can significantly improve the outcomes of clinical pregnancy in those women with uterine cavity abnormalities and unexplained infertility.

Key words: Uterine diseases, Infertility, female, Hysteroscopes