【摘要】 目的观察子宫内膜微刺激术在治疗子宫内膜过薄不孕患者中的疗效。方法 70例因子宫内膜过薄而不孕患者。随机分为研究组30例,对照组40例。研究组于月经来潮12 h内,用一次性子宫内膜取样器对子宫内膜行微创刺激。对照组不行内膜微创刺激术。两组患者均给于雌激素及黄体酮治疗,B超检测卵泡及子宫内膜厚度。结果研究组内膜厚度(8.46±1.65)mm,妊娠率23.3%,手术操作时无明显疼痛不适,无感染发生;对照组内膜厚度(6.20±0.64)mm,妊娠率12.5%。结论一次性子宫内膜取样器对子宫内膜进行微创刺激,可增加子宫内膜厚度,提高妊娠率,值得临床推广应用。更多还原

【Abstract】 Objective To observe the therapeutic effect of endometrium microresecting on nonpregnant patients with thin endometrium. Methods Divided 70 non-pregnant patients with thin endometrium into study group(30 cases) and control group(40 cases). In the study group, endometrium microresecting was given by endometrial sampling device within 12 hours after menstrual onset. Patients in the control group were not performed with endometrium microresecting. All patients of the two groups were given estrogen and progesterone as well as detection of ovarian follicle and endometrium with B-mode ultrasonography. Results Intimal thickness in the study group was(8.46±1.65) mm and the pregnancy rate was 23.3%, there was no obvious pain and unwell during the operation and the patients were free from infection. Intimal thickness in the study group was(6.20±0.64) mm and the pregnancy rate was 12.5%. There was significant difference between the two groups(P<0.05). Conclusion Endometrium microresecting by endometrial sampling device can increase the endometrium thickness and the pregnancy rate, so it deserves to be applied.更多还原