辅助生殖技术中薄型子宫内膜的产科并发症：系统评价。
Obstetrical complications of thin endometrium in assisted reproductive technologies: a systematic review.
机构信息
Department of OB/GYN, University of Miami/Jackson Memorial Hospital, Miami, FL, USA.
IVI RMA New Jersey, Basking Ridge, NJ, USA.
出版信息
J Assist Reprod Genet. 2019 Apr;36(4):607-611. doi: 10.1007/s10815-019-01407-y. Epub 2019 Jan 25.
Abstract
PURPOSE
The aim of the systematic review is to describe the obstetrical complications associated with pregnancies in the context of a thin endometrial lining.
METHODS
Systematic review of the literature.
RESULTS
Patients who conceive in the setting of a thin endometrium have a significantly increased risk of early pregnancy loss, namely miscarriage and ectopic pregnancy. These patients also have a twofold increase in low birth weight and preterm delivery, as well as a significantly higher risk of intrauterine growth restriction and composite adverse perinatal outcomes.
CONCLUSIONS
In addition to the lower probability of conception, a thin endometrium in assisted reproductive technologies appears to be associated with both early and late pregnancy complications. These pregnancies thus warrant special attention and close follow-up from obstetricians.
摘要
目的
本系统评价旨在描述薄型子宫内膜妊娠相关的产科并发症。
方法
文献系统评价。
结果
在子宫内膜薄的情况下妊娠的患者，其早期妊娠丢失（即流产和异位妊娠）的风险显著增加。这些患者还存在低出生体重儿和早产的风险增加两倍，以及宫内生长受限和复合不良围产儿结局的风险显著增加。
结论
除受孕概率降低外，辅助生殖技术中的薄型子宫内膜似乎与早期和晚期妊娠并发症均相关。因此，这些妊娠需要产科医生的特别关注和密切随访。
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