田腾娃 郭玉莲

    [摘要]?目的?觀察子宫内膜息肉(endometrial?polyp，EP)合并不孕症患者宫腔镜术后三维超声参数，分析其对妊娠结局的预测价值。方法?选取2020年3月至2021年3月于永康医院进行检查的80例EP合并不孕症患者作为研究对象，所有患者均接受宫腔镜手术治疗，根据术后临床妊娠情况分为妊娠成功组(n=62)和妊娠失败组(n=18)。比较两组患者宫腔镜术后子宫内膜形态学特征(子宫内膜厚度、子宫内膜容积、子宫内膜形态分型)及子宫动脉与螺旋动脉血流动力学参数[搏动指数(pulsatility?index，PI)、阻力指数(resistance?index，RI)，测量收缩期峰值血流速度(peak?systolic?velocity，PSV)]，采用多因素Logistic线性回归分析超声参数与EP合并不孕症患者妊娠失败的关系。结果?两组患者年龄、不孕症类型、不孕症病程、子宫内膜形态分型比较，差异均无统计学意义(P>0.05)，妊娠成功组子宫内膜厚度、子宫内膜容积均显著大于妊娠失败组(P

    [Abstract]?Objective?To?investigate?the?predictive?value?of?three-dimensional?ultrasound?parameters?after?hysteroscopy?in?patients?with?endometrial?polyp?(EP)?combined?with?infertility?and?to?analyze?their?predictive?value?for?pregnancy?outcome.?Methods?A?total?of?80?patients?with?EP?combined?with?infertility?examined?in?Yongkang?Hospital?from?March?2020?to?March?2021?were?selected?for?the?study.?All?patients?were?treated?with?hysteroscopic?surgery?and?were?divided?into?a?successful?pregnancy?group?(n=62)?and?a?failed?pregnancy?group?(n=18)?according?to?their?clinical?pregnancy?status?after?surgery.?The?endometrial?morphological?characteristics?(endometrial?thickness ......