宫腔镜在体外受精-胚胎移植失败患者中的应用价值

目的探讨官腔镜在体外受精-胚胎移植（in vitro fertilization-embryo transfer,IVF-ET）失败患者中的应用价值。方法2010年1月-2012年1月对IVF-ET失败的44例行宫腔镜检查，以排除官腔异常，其中42例行子宫内膜活检。结果正常宫腔14例（31．8％）；异常宫腔30例（68．2％）：其中子宫内膜息肉8例，宫腔粘连7例，子宫不全中隔及子宫发育不良各6例，子宫内膜炎3例。42例子宫内膜病理活检显示，正常子宫内膜32例（76．2％），其中增生期14例，分泌期18例；异常子宫内膜10例（23．8％）。结论官腔镜检查应作为IVF-ET失败再次助孕治疗前的常规检查。

The Value of Hysteroscopy in Patients Who Failed in Vitro Fertilization-Embryo Transfer

Objective To explore the value of hysteroscopy in patients who failed in vitro fertilization-embryo transfer （IVF-ET）. Methods Between January 2010 and January 2012, 44 patients who failed to conceive after IVF-ET in our center underwent hysteroscopic examination and 42 patients underwent biopsy of endometrium. Results Hysteroscopic examination showed that there were 14 patients（31.8% ） with noImal uterine cavity and 30 patients （68.2%） with abnormal uterine cavity, including 8 cases of endometrial polyps, 7 cases of adherence of uterine cavity,6 cases of incomplete uterine septum, 6 cases of uterine hypoplasia and 3 cases of endometritis. The results of pathological biopsy of endometrium of the 42 cases showed that 32 cases （76.2%） had normal endometrium,including 14 cases at proliferative phase and 18 cases at secretory phase, and 10 cases （23.8%） had abnormal endometrium. Conclusion Hysteroscopy should be used as a routine examination for patients with IVF-ET failure before next assisted reproduction treatment.