国际生殖健康/计划生育 ›› 2019, Vol. 38 ›› Issue (2): 158-161.

• 综述 • 上一篇    下一篇

肝素对子宫内膜容受性影响的研究进展

王春雪,于月新,牛凯迪   

  1. 110003 沈阳,北部战区总医院和平分院生殖医学中心(原中国人民解放军第二〇二医院生殖医学中心)
  • 收稿日期:2018-10-23 修回日期:2018-12-12 出版日期:2019-03-15 发布日期:2019-03-15
  • 通讯作者: 于月新,E-mail:yuyuexinpingan@163.com E-mail:yuyuexinpingan@163.com

Positive Effects of Heparin on Endometrial Receptivity

WANG Chun-xue,YU Yue-xin,NIU Kai-di   

  1. Reproductive Medicine Center,The General Hospital of Northern Theater Command,HePing Branch(Former No.202 Hospital of PLA),Shenyang 110003,China
  • Received:2018-10-23 Revised:2018-12-12 Published:2019-03-15 Online:2019-03-15
  • Contact: YU Yue-xin,E-mail:yuyuexinpingan@163.com E-mail:yuyuexinpingan@163.com

摘要: 子宫内膜容受性(endometrial receptivity)是指子宫内膜对胚胎的接受能力,是影响胚胎植入成功与否的重要因素。随着辅助生殖技术的发展,获得的优质胚胎数量也有所增多,但胚胎植入的成功率仍未达到较高水平。有关胚胎植入的研究大多以胚胎为中心,而对子宫内膜因素的研究较少。需要重视研究子宫内膜容受性,以及如何改善子宫内膜容受性以提高胚胎种植率和临床妊娠率。肝素为一种抗凝剂,具有抗凝血、抑制血小板聚集、抗炎等作用,在妇产科领域也有广泛应用,可用于预防手术后血栓形成、复发性流产、妊娠期高血压疾病等多种疾病。此外,肝素还可对子宫内膜容受性产生调控作用,提高胚胎植入的成功率。回顾总结肝素对子宫内膜容受性的作用机制及临床研究进展。

关键词: 肝素, 肝素, 低分子量, 细胞因子类, 胚胎植入, 生殖技术, 辅助, 滋养层细胞, 子宫内膜容受性

Abstract: Endometrial receptivity (ER), one of important factors related to the successful implantation of embryo, refers to the ability of endometrium to accept the embryo. Benifited from the development of assisted reproductive technology, the number of high-quality embryos has increased. However, the success rate of embryo implantation has not reached a high level. Most studies on the implantation process are focused on embryo, while the study on endometrial factors is less. It is necessary to pay attention to ER, and how to improve ER, so as to improve the embryo implantation rate and the clinical pregnancy rate. Heparin as an anticoagulant plays an important role in anticoagulant, inhibition of platelet aggregation and anti-inflammation. Heparin was also widely used in the field of obstetrics and gynecology, such as the prevention of postoperative thrombosis and recurrent abortion, and the treatment of gestational hypertension and other diseases. In addition, heparin has also been used to improve the success rate of embryo implantation in the clinical practice of reproductive medicine due to its positive effect on ER. The clinical application of heparin in reproductive medicine, as well as the mechanism related to ER, was reviewed.

Key words: Heparin, Heparin, low-molecular-weight, Cytokines, Embryo implantation, Reproductive techniques, assisted, Trophoblasts, Endometrial receptivity