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The use of misoprostol for cervical priming prior to hysteroscopy: a systematic review and analysis.米索前列醇在宫腔镜检查前用于宫颈准备：一项系统评价与分析
Drug Des Devel Ther. 2016 Sep 6;10:2789-2801. doi: 10.2147/DDDT.S111625. eCollection 2016.
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Does the time interval between hysteroscopic polypectomy and start of in vitro fertilization affect outcomes?宫腔镜息肉切除术后至开始体外受精的时间间隔会影响结局吗？
Fertil Steril. 2016 Feb;105(2):539-44.e1. doi: 10.1016/j.fertnstert.2015.10.028. Epub 2015 Nov 18.
3
Comparing Transcervical Intrauterine Lidocaine Instillation with Rectal Diclofenac for Pain Relief During Outpatient Hysteroscopy: A Randomized Controlled Trial.门诊宫腔镜检查时经宫颈子宫内注入利多卡因与直肠给予双氯芬酸缓解疼痛的比较：一项随机对照试验
Oman Med J. 2015 May;30(3):157-61. doi: 10.5001/omj.2015.35.
4
Hysteroscopic Myomectomy of Large Submucous Myomas in a 1-Step Procedure Using Multiple Slicing Sessions Technique.采用多次切片技术一步法行宫腔镜下大的黏膜下肌瘤切除术
J Minim Invasive Gynecol. 2015 Nov-Dec;22(7):1196-202. doi: 10.1016/j.jmig.2015.06.008. Epub 2015 Jun 18.
5
Fertility and Pregnancy Outcome after Myoma Enucleation by Minilaparotomy under Microsurgical Conditions in Pronounced Uterus Myomatosus.在明显子宫肌瘤患者中，经微型剖腹术在显微手术条件下子宫肌瘤剔除术后的生育力与妊娠结局
Geburtshilfe Frauenheilkd. 2015 Jan;75(1):56-63. doi: 10.1055/s-0034-1396163.
6
Comparison of the ESHRE-ESGE and ASRM classifications of Müllerian duct anomalies in everyday practice.日常实践中穆勒管异常的ESHRE-ESGE分类与ASRM分类的比较。
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7
Clinical implications of congenital uterine anomalies: a meta-analysis of comparative studies.先天性子宫异常的临床意义：比较研究的荟萃分析
Reprod Biomed Online. 2014 Dec;29(6):665-83. doi: 10.1016/j.rbmo.2014.09.006. Epub 2014 Sep 21.
8
Uterine cavity assessment in infertile women: Sensitivity and specificity of three-dimensional Hysterosonography versus Hysteroscopy.不孕女性的子宫腔评估：三维子宫超声造影与宫腔镜检查的敏感性和特异性
Iran J Reprod Med. 2013 Dec;11(12):977-82.
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Effect of myomectomy on endometrial glutathione peroxidase 3 (GPx3) and glycodelin mRNA expression at the time of the implantation window.子宫肌瘤切除术对种植窗期子宫内膜谷胱甘肽过氧化物酶3（GPx3）和糖蛋白15（glycodelin）mRNA表达的影响。
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诊断性门诊阴道宫腔镜检查在体外受精前不孕症评估中的应用：1000例回顾性分析

Diagnostic Office Vaginohysteroscopy in Evaluation of Infertility Prior to IVF: A Retrospective Analysis of 1000 Cases.

作者信息

Kumar Praveen, Mohan Surender, Talwar Pankaj, Rai Seema, Nagaraja N, Sharma Prashant

机构信息

ART Centre, Army Hospital (Research & Referral), Delhi Cantt, India.

出版信息

J Obstet Gynaecol India. 2017 Aug;67(4):275-281. doi: 10.1007/s13224-017-0972-9. Epub 2017 Feb 10.

DOI:10.1007/s13224-017-0972-9
PMID:28706367
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5491418/
Abstract

AIM

The aim of this study was to analyze the utility of routine use of diagnostic office vaginohysteroscopy in the evaluation of uterine cavity in infertility patients prior to IVF-ET.

MATERIALS AND METHODS

We conducted a retrospective analysis of 1000 women who had undergone routine diagnostic office vaginohysteroscopy as an institutional protocol in the evaluation of infertility prior to IVF-ET cycle at a tertiary care hospital. They were divided into two groups: primary infertility (group I) and secondary infertility (group II). The primary outcome was the finding of an abnormal uterine cavity (congenital abnormality vs acquired abnormality).

RESULTS

One thousand women underwent routine diagnostic office vaginohysteroscopy in the evaluation of infertility prior to IVF-ET. There were no intraoperative or postoperative complications. Vaginohysteroscopy revealed an abnormal uterine cavity in 13.8% (1000 patients) of women. Primary infertility group (I) had 13.19% (811 patients), and secondary infertility group (II) had 16.4% (189 patients) abnormal uterine cavities.

CONCLUSION

Diagnostic office vaginohysteroscopy has a definite role in the uterine cavity evaluation in infertility patients prior to IVF, but routine use should not be recommended considering the low incidence of abnormal uterine cavity findings. Moreover, the majority of these uterine cavity abnormalities can be detected by less invasive tests such as HSG, TVS, SSG and 3D ultrasound.

摘要

目的

本研究旨在分析在体外受精-胚胎移植（IVF-ET）前对不孕患者常规使用诊断性门诊阴道宫腔镜检查评估子宫腔的效用。

材料与方法

我们对一家三级医疗机构中1000名接受常规诊断性门诊阴道宫腔镜检查的女性进行了回顾性分析，这些检查是该机构在IVF-ET周期前评估不孕情况的方案。她们被分为两组：原发性不孕（第一组）和继发性不孕（第二组）。主要结局是发现子宫腔异常（先天性异常与后天性异常）。

结果

1000名女性在IVF-ET前接受了常规诊断性门诊阴道宫腔镜检查以评估不孕情况。术中及术后均无并发症。阴道宫腔镜检查发现13.8%（138例）女性子宫腔异常。原发性不孕组（第一组）子宫腔异常率为13.19%（81例），继发性不孕组（第二组）为16.4%（19例）。

结论

诊断性门诊阴道宫腔镜检查在IVF前不孕患者子宫腔评估中具有明确作用，但鉴于子宫腔异常发现率较低，不建议常规使用。此外，这些子宫腔异常大多可通过侵入性较小的检查如子宫输卵管造影（HSG）、经阴道超声（TVS）、子宫输卵管超声造影（SSG）和三维超声检测出来。