中国实用妇科与产科杂志
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摘要： 子宫内膜息肉是最常见的良性子宫内膜病变之一，可能通过机械梗阻和炎症刺激影响妊娠的发生而导致不孕。经阴道超声是内膜息肉的主要筛查手段，宫腔镜检查及直视下病理活检则是内膜息肉诊断的金标准。宫腔镜手术切除息肉可以提高自然妊娠和辅助生殖技术的成功率，然而息肉切除是否作为辅助生殖技术实施前的常规治疗目前尚有争议。子宫内膜息肉术后复发的预防、促排卵过程中新发息肉的处理是目前的两个临床难题，需要一系列设计严谨的临床及基础研究为息肉的处理提供更有说服力的理论和实践依据。
关键词: 子宫内膜息肉, 不孕症, 息肉切除术
Abstract: Endometrial polyps（EPs）is one of the most common benign endometrial lesions and may affect the success rate of conception，or reslut in infertility，through mechanical obstruction and inflammatory stimulation.The primary tool for initial diagnosis of endometrial polyps is transvaginal ultrasonography and the standard diagnostic tool is hysteroscopy and guided biopsy.Polypectomy has been proven to increase success rates of spontaneous conception and assisted reproductive technology（ART）in infertile patients.However，it is still controversial whether surgical removal of EPs is a routine procedure before ART treatment.Prevention of postoperative recurrence and management of newly diagnosed endometrial polyps during controlled ovarian stimulation are the main challenging problems，so a series of clinical and basic scientific research are urgently needed to provide more convincing evidence for clinical management of polyps.
Key words: endometrial polyps, infertility, polypectomy
中图分类号:
R711.6
古芳. 不孕症合并子宫内膜息肉的临床处理及预后[J]. 中国实用妇科与产科杂志, DOI: 10.19538/j.fk2020060104.
GU Fang. Clinical management and prognosis of infertile patients with endometrial polyps.[J]. Acta Metallurgica Sinica, DOI: 10.19538/j.fk2020060104.
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