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对160例原发性不孕症患者月经来潮6小时内的子宫内膜进行了组织学观察,总结其组织学改变特点,提出不孕症子宫内膜组织学诊断的两类三级分类法:即增生反应和分泌反应两类,各类以其反应程度由弱到强分为1~3级。结果表明:分泌反应类占64.38%,其中1级和2级占66.99%。与分泌正常的3级相比有显著差异(P<0.01),需补充激素治疗;增生反应类占35.62%,其中3级(增生过长)占17.54%。雌激素在于宫内膜发育和受孕方面起重要作用。
160 cases of primary infertility patients with menstrual cramps within 6 hours of endometrial histology, summarizes the characteristics of histological changes, proposed infertility endometrial histology of the two types of tertiary classification: Namely hyperplasia and excretion reaction of two types, all kinds of its reaction from weak to strong is divided into 1 to 3 levels. The results showed that the secretion reaction accounted for 64.38%, of which 1 and 2 accounted for 66.99%. There were significant differences (P <0.01) compared with those with normal secretion (P <0.01). Hormone therapy was required. The hyperplastic reaction accounted for 35.62%, of which Grade 3 (hyperplasia) accounted for 17.54%. Estrogen plays an important role in endometrial development and pregnancy.