生殖医学杂志2013，Vol.22Issue(2)：106-109,4.DOI:10.3969/j.issn.1004-3845.2013.02.006
宫腔镜在体外受精-胚胎移植失败再次胚胎移植中的应用价值
Application value of hysteroscopy in frozen-thawed embryo transfer again after IVF-ET failed
摘要
Abstract
Objective: To evaluate the diagnostic value of hysteroscopy in the frozen-thawed embryo transfer (FET) after failure of vitro fertilization -embryo transfer (IVF-ET). Methods: A total of 181 patients requesting FET after failure of IVF-ET from the reproductive centre of our hospital between Sep. 2010 to Apr. 2012. The 181 patients are randomly divided into two groups. The patients in group A were examined by hysteroscopy. If the patients were found with abnormal cervix, they would be given corresponding treatment, and then FET timely. The patients in group B were examined by hysteroscopy and only performed FET timely. Finally, the outcomes were compared between group A and group B. Results: The of abnormal cavity rate in the group A is 84. 38% . The abnormal cavity includes endometrial polyps, endometrial tuberculosis, endometrial hyperplasia, chronic endometritis, uterine hypoplasia, intrauterine adhesions, uterine malformation. The implantation rate (22.5%) and the pregnancy rate(43. 75%)in group A were significantly higher than those in group B(14. 15% and 29. 41%) respectively(P<(0. 05). Conclusions :By the hysteroscopy, we can observe the cavity clearly and find the tiny lesions of the cavity. By improving the intrauterine environment of the cavity, we can improve the uterine receptivity and the clinical pregnancy rate. So hysteroscopy has important clinical application value in the IVF-ET and it can be used as the routine examination method for IVF-ET losers who are going to do embryo transfer again.关键词
宫腔镜/体外受精-胚胎移植/子宫内膜容受性/妊娠结局Key words
Hysteroscopy/ In vitro fertilization and embryo transfer/ Endometrial receptivity/ Pregnancy outcome引用本文复制引用
胡肖玲,马海兰,王巍,李美玲..宫腔镜在体外受精-胚胎移植失败再次胚胎移植中的应用价值[J].生殖医学杂志,2013,22(2):106-109,4.基金项目
广西贵港市科技局科技攻关项目(贵科攻 1005010) （贵科攻 1005010）
