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国际妇产科研究

International Journal of Obstetrics and Gynecology

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International Journal of Obstetrics and Gynecology. 2023; 3: (3) ; 10.12208/j.ijog.20230014 .

Significance of endometrial biopsy in screening for causes of recurrent spontaneous abortion
子宫内膜活检在复发性流产病因筛查中的意义

作者: 廖佳玲1, 王英兰2 *

1 暨南大学 广东深圳

2 深圳市人民医院产科 广东深圳

*通讯作者: 王英兰,单位: 深圳市人民医院产科 广东深圳;

引用本文: 廖佳玲, 王英兰 子宫内膜活检在复发性流产病因筛查中的意义[J]. 国际妇产科研究, 2023; 3: (3) : 1-7.
Published: 2023/7/13 16:54:09

摘要

复发性流产的检查主要是针对其病因展开,包括:病理学检查、免疫学检查、子宫内膜容受性评估、内分泌检查等。大多数患者可以通过血液检查及B超、MRI、宫腔镜等辅助技术找到病因并进行治疗,少数患者需要进行子宫内膜活检来明确病因,子宫内膜组织学改变往往能反映体内性激素水平,推测有无排卵、判断黄体功能,寻找原因。且治疗前后的疗效也需要通过该技术来进行对比及为下一步治疗提供方向。本文就子宫内膜活检在RSA病因筛查中的意义予以综述。

关键词: 子宫内膜;复发性流产;胚胎移植

Abstract

The examination of recurrent miscarriage mainly focuses on its etiology, including pathological examination, immunological examination, endometrial receptivity assessment, endocrine examination, etc. Most patients can find the cause and treat it through blood tests and auxiliary techniques such as ultrasound, MRI, and hysteroscopy, and a small number of patients need endometrial biopsy to determine the cause. Endometrial histological changes often reflect the level of sex hormones in the body, speculate on ovulation, judge the function of the corpus luteum, and find the cause. And the efficacy before and after treatment also needs to be compared by this technology and provide direction for the next treatment. The significance of endometrial biopsy in screening for the causes of recurrent spontaneous abortion is reviewed here.

Key words: Endometrium; Recurrent spontaneous abortion; Embryo transfer

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