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提高生育能力的宫腔镜手术。

Fertility-enhancing hysteroscopic surgery.

作者信息

Cela Vito, Litta Pietro, Franchini Mario, Sergiampietri Claudia, Simi Giovanna, Freschi Letizia, Artini Paolo G, Papini Francesca

机构信息

University of Pisa, Pisa, Italy -

出版信息

Minerva Ginecol. 2016 Apr;68(2):167-74. Epub 2016 Feb 29.

Abstract

Anatomical uterine element and functional components play a fundamental role in the enhancing of fertility are the major actors. Uterine pathologies, including congenital or acquired lesions, have been reported in 21 to 47% of patients undergoing in vitro fertilization cycles. Hysteroscopy is an important procedure in the study of one of the most important element of fertility: the uterus, even if its use in the world of infertility is discussed. There are many studies on safety and feasibility of the procedure and on patient compliance, but there is no consensus on its systemic use. This study, thanks to the wide literature about the use of hysteroscopic surgery to enhance fertility in most of the congenital and acquired problems affecting women in fertility age, allows defining that diagnostic and operative hysteroscopy is a rapid and safety technology to improve fertility.

摘要

子宫的解剖结构和功能组成部分在提高生育能力方面起着至关重要的作用,是主要因素。据报道,在接受体外受精周期的患者中,21%至47%存在子宫病变,包括先天性或后天性病变。宫腔镜检查是研究生育能力最重要因素之一——子宫的重要手段,尽管其在不孕症领域的应用存在争议。关于该手术的安全性、可行性以及患者依从性有许多研究,但对于其系统性应用尚未达成共识。这项研究借助了大量关于使用宫腔镜手术改善影响育龄女性生育的大多数先天性和后天性问题的文献,从而确定诊断性和手术性宫腔镜检查是一种提高生育能力的快速且安全的技术。

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