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本文收集了145例临床上无输卵管不畅等其它病因,夫曾生育过,不孕时间达一年以上经医生预约在经前刮诊的不孕症病例,用常规病理方法详细分析了形态学改变.发现病例中有形态学改变的达89.6%,其中内膜分泌反应欠佳占55.6%.提出了把内膜分泌反应欠佳为分早期分泌相,中期分泌相,假蜕膜形成不足,无假蜕膜形成,蜕、腺均不足五种独立类型及其临床应用.并探讨了各自的形态学特点和鉴别诊断.对女性不孕症宫内膜活检规范化诊断的制订有现实意义.
This article collected 145 cases of clinically no other causes of tubal obstruction, husband had fertility, infertility time of more than one year by physician appointment in premenstrual curettage infertility cases, with conventional pathology in detail the morphology Found that 89.6% of morphological changes were found in patients with endometrial secreting less than 55.6% of the poor. Proposed the poor endometrial secretion of early secretion phase, the secretion phase, the formation of pseudo-decidua, No decidual decidua formation, shedding, gland are less than five independent types and their clinical application, and discuss their morphological characteristics and differential diagnosis of infertility, endometrial biopsy standardized development of diagnostic significance.