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聚焦反复种植失败的子宫内膜因素。

Zooming in on the endometrial factor of recurrent implantation failure.

机构信息

IVF and Fertility Unit, St. Ives Specialist Hospital, Lagos, Nigeria.

出版信息

Hum Fertil (Camb). 2022 Dec;25(5):848-859. doi: 10.1080/14647273.2021.1925976. Epub 2021 May 18.

Abstract

Recurrent implantation failure (RIF) is a major limiting factor in the success rates of fertilisation despite the remarkable clinical and technological advancement made at improving assisted reproductive technology. The primary purpose of the endometrium is to provide a receptive site for the implantation of the blastocyst and support its growth and subsequent development. Endometrial pathologies such as endometrial polyps, adenomyosis, Asherman's syndrome, chronic endometritis, and congenital Müllerian ducts defect negatively influence the integrity and receptivity of the endometrium, as well as the implantation of the embryo. This review highlights the implications of these endometrial pathologies and their association with RIF.

摘要

反复着床失败(RIF)是尽管在改善辅助生殖技术方面取得了显著的临床和技术进步,但受精成功率的主要限制因素。子宫内膜的主要目的是为囊胚着床提供一个接受部位,并支持其生长和随后的发育。子宫内膜病变,如子宫内膜息肉、子宫腺肌病、Asherman 综合征、慢性子宫内膜炎和先天性 Müller 管发育不全,会对子宫内膜的完整性和接受性以及胚胎着床产生负面影响。本综述强调了这些子宫内膜病变的意义及其与 RIF 的关联。

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