国际生殖健康/计划生育杂志

国际生殖健康/计划生育 ›› 2012, Vol. 31 ›› Issue (3): 242-245.

• 综述 • 上一篇    下一篇

宫腔镜检查在反复种植失败病例中的临床应用

余琴梅,赵晓明   

  1. 200001 上海交通大学医学院附属仁济医院生殖科
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2012-05-15 发布日期:2012-05-15
  • 通讯作者: 赵晓明

Clinical Application of Hysteroscopy in Patients with the Repeated Implantation Failures

YU Qin-mei，ZHAO Xiao-ming   

  1. Department of Reproductive Medicine,the Affiliated Renji Hospital of Medical College of Shanghai Jiao Tong University,Shanghai 200001,China
  • Received:1900-01-01 Revised:1900-01-01 Published:2012-05-15 Online:2012-05-15
  • Contact: ZHAO Xiao-ming

PDF (PC)

7304

摘要： 胚胎反复种植失败（repeated implantation failure，RIF）是阻碍辅助生殖技术临床妊娠率进一步提高的瓶颈。造成反复种植失败的原因主要为子宫内膜容受性低下，其次为胚胎发育缺陷。作为诊断宫腔病变的金标准，宫腔镜检查能直接观察内膜和宫腔的病变，同时对病变部位进行活检和处理，改善宫腔环境，从而提高反复种植失败患者的胚胎种植率和临床妊娠率。

关键词: 宫腔镜检查, 受精, 体外, 胚胎植入, 治疗失败, 妊娠率

Abstract: The repeated implantation failure is a key problem affecting further improvement of clinical pregnancy rates. Two main reasons of the repeated implantation failure are low endometrial receptivity and defect embryonic development. Hysteroscopy is generally considered to be the golden standard in the diagnosis of intrauterine pathology. It offers direct visualization of endometrium and uterine cavity, which enables clinicians to diagnose and treat intrauterine pathology during the operation in order to optimize the condition of uterine environment. So hysteroscopy could be an effective tool for improving the IVF outcomes of patients with the repeated implantation failure. We discussed here the clinical applications of hysteroscopy in patients with the repeated implantation failures.

Key words: Hysteroscopy, Fertilization in vitro, Embryo implantation, Treatment failure, Pregnancy rate