Chinese Journal of Practical gynecology ang obstetric

Chinese Journal of Practical gynecology ang obstetric ›› 2022, Vol. 38 ›› Issue (3): 273-276.DOI: 10.19538/j.fk2022030106

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Endometrial polyps and fertility.

  

  1. Peking Union Medical College Hospital，Peking Union Medical College & Chinese Academy of Medical Science，Beijing 100730，China
  • Online:2022-03-02 Published:2022-03-02

子宫内膜息肉与生育

  

  1. 中国医学科学院 北京协和医学院 北京协和医院妇科内分泌与生殖中心，北京 100730
  • 通讯作者: 田秦杰

Abstract:

Although endometrial polyp is the most common intrauterine lesion and has been proved to be related to infertility，there is still a lack of unified diagnostic criteria，classification and description system.Perhaps it is not always a simple disease，but the local phenotype of other uterine diseases.In fact，there is a lack of high-quality evidence on whether polyp removal is necessary in infertile patients，but a large number of retrospective studies have shown that polyp removal can improve the rate of natural pregnancy and assisted reproductive success.Surgery itself is not complicated and is becoming more and more convenient，but caution and calmness about the necessity of surgery should not be ignored.In the future，we need to conduct further studies on the expression of receptivity -related molecules in the window of implantation（WOI），so as to deepen the understanding of the association between endometrial polyps and fertility.

Key words: endometrial polyp, infertility, assisted reproduction technology, endometriosis, adenomyosis

摘要： 子宫内膜息肉尽管是最常见的宫内病变，也早有研究证实其与不孕症的相关性，但至今仍缺乏统一的诊断标准、分类和描述系统，也许它并不总是一个单纯的疾病，而是其他子宫疾病的局部表型。对于不孕症患者合并子宫内膜息肉，到底是否需要切除，实际上也缺乏高质量的证据，但从大量回顾性研究结果来看，息肉切除术对于提高自然妊娠率和辅助生殖技术成功率均有帮助。手术本身并不复杂，而且越来越便捷，但不能忽视对手术必要性的警示和冷静思考。未来需要针对种植窗（WOI）的容受性相关分子表达进行更深入的研究，以加深子宫内膜息肉与生育关联的理解。


关键词: 子宫内膜息肉, 不孕症, 辅助生殖技术, 子宫内膜异位症, 子宫腺肌病

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