首页|慢性子宫内膜炎患者子宫内膜息肉发生情况及其与IVF助孕结局的关系研究

慢性子宫内膜炎患者子宫内膜息肉发生情况及其与IVF助孕结局的关系研究

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目的 探讨慢性子宫内膜炎(CE)患者子宫内膜息肉(EP)发生情况及其与体外受精(IVF)助孕结局的关系.方法 回顾性选取2020年4月至2022年4月在四川锦欣西囡妇女儿童医院行IVF助孕的130例CE患者作为研究对象,根据是否存在EP分为伴EP组(n=63)和不伴EP组(n=67),对比两组患者基线资料、实验室及临床数据的差异,并对比两组患者的妊娠结局.结果 伴EP组CE重度占比高于不伴EP组,基础雌二醇(E2)水平高于不伴EP组,取卵日子宫内膜厚度大于不伴EP组(P<0.05);伴EP组生化妊娠率高于不伴EP组(P<0.05).两组临床妊娠率、早期流产率、宫外孕率和活产率比较均无统计学差异(P>0.05).单因素分析结果显示,基础E2水平、CE程度是伴EP的CE患者助孕结局的影响因素(P<0.05).结论 CE伴EP的风险较高,在行IVF助孕前经宫腔镜治疗可与不伴EP患者的IVF助孕结局相似;基础E2水平、CE程度可能会影响伴EP的CE患者的助孕结局.
Study on occurrence of endometrial polyp and its relationship with in vitro fertilization-assisted pregnancy outcomes in patients with chronic endometritis
Objective To explore the occurrence of endometrial polyp(EP)and its relationship with in vitro fertilization(IVF)-assisted pregnancy outcomes in patients with chronic endometritis(CE).Methods A total of 130 patients with CE undergoing IVF-assisted pregnancy in Sichuan Jinxin Xinan Women's and Children's Hospital from April 2020 and April 2022 were retrospectively enrolled as the research objects.According to presence or absence of EP,they were divided into EP group(n=63)and non-EP group(n=67).The differences in general data,laboratory and clinical data,and pregnancy outcomes in the two groups were compared.Results The proportion of severe CE in EP group was higher than that in non-EP group,level of basal estradiol(E2)was higher than that in non-EP group,and endometrial thickness on the day of egg retrieval was greater than that in non-EP group(P<0.05).The biochemical pregnancy rate in EP group was higher than that in non-EP group(P<0.05).There was no significant difference in clinical pregnancy rate,early abortion rate,ectopic pregnancy rate or live birth rate between the two groups(P>0.05).The results of univariate analysis showed that level of basal E2 and CE severity were influencing factors of IVF-assisted pregnancy outcomes(P<0.05).Conclusions The risk of EP is higher in CE patients.EP patients have the similar IVF outcomes after hysteroscopy before IVF-assisted pregnancy with non-EP patients.Level of basal E2 and CE severity may influence assisted pregnancy outcomes in CE patients combined with EP.

Chronic endometritisEndometrial polypIn vitro fertilizationAssisted pregnancy outcome

郭丽萍、刘娟、李思佳

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四川锦欣西囡妇女儿童医院妇科,成都 610023

慢性子宫内膜炎 子宫内膜息肉 体外受精 助孕结局

2024

中国性科学
中国性学会

中国性科学

CSTPCD
影响因子:1.394
ISSN:1672-1993
年,卷(期):2024.33(4)
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