Bahçeci M, Demirel L C
Department of Obstetrics and Gynaecology, Ankara University School of Medicine, Turkey.
Hum Reprod. 1996 Nov;11(11):2537-9. doi: 10.1093/oxfordjournals.humrep.a019154.
This case report presents a very rare and long-standing cause of infertility, osseous metaplasia of the endometrium, and describes its successful management by hysteroscopy. A woman with a history of induced abortion 12 years ago, failed to conceive from that time on. The infertility work-up was unrevealing except for the presence of intracavitary calcification on ultrasonography. After diagnostic hysteroscopy, solid bony spicules covering the posterior wall of the endometrial cavity were removed by wire loop resectoscope. Histology established the diagnosis of osseous metaplasia of the endometrium. The patient conceived in her second spontaneous cycle and has an ongoing pregnancy at the time of writing. Hysteroscopy was an effective means of extracting this heterotopic tissue, thereby re-establishing fertility even after a long period of infertility.
本病例报告介绍了一种极为罕见且长期存在的不孕症病因——子宫内膜骨化生，并描述了通过宫腔镜检查对其进行的成功治疗。一名12年前有人工流产史的女性，自那时起未能受孕。除超声检查发现宫腔内钙化外，不孕症检查未发现其他问题。诊断性宫腔镜检查后，用环形电极切除镜切除了覆盖子宫内膜腔后壁的实性骨针。组织学检查确诊为子宫内膜骨化生。患者在第二个自然周期受孕，撰写本文时仍在持续妊娠。宫腔镜检查是提取这种异位组织的有效方法，即使在长期不孕后也能恢复生育能力。
