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宫腔镜在再次体外受精-胚胎移植前的应用价值 被引量：5

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摘要 目的:探讨宫腔镜在助孕治疗失败后要求再次进行IVF-ET的患者中的应用价值。方法:回顾性分析曾行IVF-ET失败要求再次行IVF-ET患者159例,根据是否在第2次IVF-ET前接受宫腔镜检查分为A、B二组,根据宫腔镜检查情况再将A组分为宫腔形态正常组(A1组)与宫腔形态异常组(A2组),分析A组宫腔镜检查情况,并比较A1组、A2组和B组在重复IVF-ET周期中优质胚胎率、着床率、临床妊娠率。结果:A组53.8%宫腔形态正常,46.2%发现宫腔内微小病变,包括子宫内膜息肉、子宫内膜炎、宫腔轻度粘连、子宫黏膜下肌瘤、子宫内膜增殖和子宫内膜发育不良;A组临床妊娠率与着床率明显较B组高,A1组临床妊娠率和着床率较B组低,但无统计学差异;A2组临床妊娠率和着床率显著高于B组,P<0.05。结论:宫腔镜可以发现存在于宫腔内的微小病变;IVF-ET失败患者应放宽宫腔镜检查指征,以提高重复周期的临床妊娠率和着床率。
作者 程丹 杨菁 胡静 徐望明
机构地区 武汉大学人民医院生殖医学中心
出处 《生殖与避孕》 CAS CSCD 北大核心 2007年第2期150-151,154,共3页 Reproduction and Contraception
关键词 体外受精-胚胎移植(TVF—ET) 着床失败 宫腔镜
分类号 R714.8 [医药卫生—妇产科学]
作者简介 通讯作者：程丹：Tel／Fax：＋86-27-88080749；E-mail：ehengdanny@126．com／danny79410@sohu．com
  • 相关文献

参考文献9

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二级参考文献19

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共引文献22

同被引文献37

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  • 3曹彤,孙莹璞,郭艺红,苏迎春.体外受精-胚胎移植失败202例宫腔镜检结果分析[J].郑州大学学报（医学版）,2006,41(2):354-356. 被引量：1
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引证文献5

二级引证文献58

生殖与避孕
2007年 第2期

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