539例体外受精-胚胎移植患者宫腔镜检查结果分析

目的：回顾性分析体外受精‐胚胎移植（IVF‐ET）患者的宫腔镜检查情况，探讨宫腔镜检查在IVF‐ET中的临床意义。方法收集从2012年1月至2014年5月在该院生殖医学中心行宫腔镜检查的IVF‐ET病例539例，根据检查时间分为A组（IVF‐ET术前检查组）258例和B组（IVF‐ET术后检查组）281例，对宫腔镜检查结果进行回顾性分析。结果所有患者宫腔异常检出率为49．54％，以子宫内膜息肉和复合异常多见，其中B组的宫腔异常检出率显著高于A组（54．10％vs．44．57％，χ2＝4．5，P＝0．034）；宫颈管总异常检出率为18．74％，A、B两组差异无统计学意义（P＞0．05）。结论接受IVF‐ET助孕治疗的患者宫腔异常率较高，胚胎着床失败患者应该行常规宫腔镜检查。

Analysis of hysteroscopy results of 539 patients accept in vitro fertilization-embryo transfer

Objective To evaluate uterine cavity of the patients who accept the treatment in vitro fertilization‐embryo trans‐fer(IVF‐ET)and determine the clinical value of hysteroscopy for the patients .Methods Between January 2012 and May 2014 ,539 cases who accepted the IVF‐ET and hysteroscopy ,were divided into two grops ,group A(258 patients examinated before IVF‐ET cycle) and group B(281 patients after the IVF‐ET failure) ,and retrospective analysis was performed for their uterine cavity and cervix canal data .Results The total incidence of abnormal hysteroscopic findings was 49 .54% ,and group B was significantly high‐er than that in group A(54 .10% vs .44 .57% ,χ2 =4 .5 ;P=0 .043) .The percent of abnormal cervix canal was 18 .74% ,and there wasn′t significant difference between the two groups .Conclusion The incidence of abnormal hysteroscopic findings in IVF‐ET is higher than that in normal patients ,so hysteroscopy has an important clinical value for diagnosis and evalution ,especially for pa‐tients with failure of IVF‐ET .