|
|
|
| Effect of endometrial polyp on infertility patients |
| WANG Yu1 ZHANG Shaojing2 ZHANG Shaodi3 TAN Lixia1 |
1.Department Ⅱ of Gynecology, Shijiazhuang First Hospital, Hebei Province, Shjiazhuang 050011, China;
2.Department of Reproductive Medicine, Shijiazhuang First Hospital, Hebei Province, Shjiazhuang 050011, China;
3.Reproductive Medicine Center, He′nan Provincial People′s Hospital, He′nan Province, Zhengzhou 450003, China |
|
|
|
Abstract Objective To investigate the effect of endometrial polyp on the pregnancy status of infertility patients. Methods From July 2016 to July 2018, in Shijiazhuang First Hospital, 340 infertility patients were selected, among them 140 failed to assist in pregnancy (group A) and 200 without assist pregnancy (group B). In group A, there were 69 cases with endometrial polyp, 71 cases without endometrial polyp; in group B, there were 98 cases with endometrial polyp, 102 cases without endometrial polyp. The incidence of endometrial polyp in different ages, different maternal history, and infertility years were observed, the clinical pregnancy rate of patients in two groups were further analyzed. Results There were significant differences in the incidence of endometrial polyp of patients in different ages, different maternal history and infertility (P < 0.05); in group A, the pregnancy success rate of endometrial polyp excision was significantly higher than that without endometrial polyp, the difference was statistically significant (P < 0.05); in group B, the pregnancy success rate of endometrial polypectomy was slightly higher than without endometrial polyp, but the difference was not statistically significant (P > 0.05). Conclusion Endometrial polyp is important factor leading to infertility in patients, it may affect the pregnancy and reduce the pregnancy rate. therefore, for patients with infertility, hysteroscopy should be performed in the early stage, once endometrial polyp is found, they should be timely removal to improve the patients′ clinical pregnancy success rate.
|
|
|
|
|
|
[1] 蔺军敏，陈燕如，刘连连，等.子宫内膜息肉发病的相关因素研究进展及与不孕关系的相关研究[J].中国妇幼保健，2016，31（14）：2978-2980.
[2] 冯苗，李素春，潘萍，等.1372例不孕妇女子宫内膜息肉样病变宫腔镜检查与病理对照研究[J].国际生殖健康/计划生育杂志，2015，34（2）：112-115.
[3] 吴佩蔚.子宫内膜息肉不孕患者宫腔镜下不同手术方式比较[J].中国妇幼保健，2015，30（6）：905-907.
[4] 陈玉清，唐教清，黄孙兴，等.子宫内膜息肉对不孕患者临床妊娠的影响[J].中山大学学报：医学科学版，2013， 34（6）：906-910.
[5] 吕莎，许晓晓.不孕症患者526 例宫腔镜检查的临床分析[J].中国实用医刊，2017，44（03）：76-78.
[6] 牛婧雅，顾倪浩，袁瑞.关于子宫内膜息肉和内膜息肉切除术对不孕症患者妊娠率影响的系统评价[J].重庆医科大学学报，2016，41（3）：286-291.
[7] 彭雪冰，黄晓武，夏恩兰.子宫内膜息肉对生育能力的影响[J].国际生殖健康/计划生育杂志，2017，36（3）：230-233.
[8] Inoue T，Kitajima M，Taniguchi K，et al. Three-dimensional saline-infusion sonohysterography is useful for the identification ofendometrial polyp [J]. J Obstet Gynaecol Res，2016，42（7）：855-859.
[9] Bueloni-Dias FN，Spadoto－Dias D，Nahás Neto J，et al. Predictive factors for occurrence of endometrial polyps in postmenopausal women [J]. Rev Bras Ginecol Obstet，2014， 36（11）： 489－496.
[10] 陈玉清，方瑞丽，杨欢，等.子宫内膜息肉的临床特征及息肉摘除术后对妊娠影响的相关因素分析[J].现代妇产科进展，2017，26（1）：67-69.
[11] 覃晓，徐文生.TCRP术后子宫内膜息肉复发相关因素研究[J].广西医科大学学报，2015，32 （3）：446-448.
[12] 李悦，赵慧，黄冰玉，等.不孕症患者促排卵治疗对子宫内膜息肉发生的影响[J].吉林大学学报：医学版，2015， 41（3）：648-651.
[13] 张艳青.宫腔镜子宫内膜息肉切除后EP合并不孕患者的妊娠结局及影响因素分析[J].中国妇产科临床杂志，2017，18（1）：69-70.
[14] 叶昕，葛晨蕾.子宫内膜息肉的临床特征及息肉摘除术后对妊娠影响的相关因素分析[J].中国卫生标准管理，2017，8（16）：26-28.
[15] Zhu H，Fu J，Lei H，et al. Evaluation of transvaginal sonography in detecting endometrial polyps and the pregnancy outcome following hysteroscopic polypectomy in infertile women [J]. Exp Ther Med，2016，12（2）：1196-1200.
[16] 杨然，冯磊.宫腔镜手术对子宫内膜息肉型不孕症患者激素表达水平及预防的影响分析[J].中国妇幼保健，2015，30（10）：1535-1537.
[17] 王淑丽，王秋霞，张茹，等.子宫内膜息肉病因、诊断、治疗和预防复发的研究进展[J].中国妇幼保健，2015，30（22）：3917-3919.
[18] 李悦，赵慧，黄冰玉，等.不孕症患者促排卵治疗对子宫内膜息肉发生的影响[J].吉林大学学报：医学版，2015， 41（3）：648-651.
[19] 陈丽影，王燕婷，梁美玲.两种术式治疗有生育要求的子宫内膜息肉患者的效果与安全性对比[J].中外医学研究，2018，16（25）：38-40.
[20] 黄海英.子宫内膜息肉发病相关高危因素的临床调查分析[J].中国医药科学，2018，8（18）：167-170，192. |
|
|
|
