简介

子宫内膜过薄是指在控制性超促排卵中,子宫内膜厚度低于胚胎移植所需厚度的最低限。一般认为移植所需最薄子宫内膜厚度是5~8mm。当子宫内膜厚度为7~17mm,与移植成功率呈线性相关。

病因

引起子宫内膜过薄的病因很多,包括宫腔粘连、子宫动脉血管畸形、口服避孕药和()克罗米芬相关的辅助生殖治疗。其病理生理学基础可能是VEGF(血管内皮生长因子)分泌降低,从而减少内膜血管增殖,增加子宫内膜血管阻力,减少内膜血供。

诊断

诊断子宫内膜过薄最基本的方法是普通或者三维阴道超声。通过超声可以评估内膜的形态、回声(如三线征和分泌期内膜)和内膜血流。内膜容积<1ml,对于种植率有不利影响。

治疗

佑宝孕育助孕中心治疗薄型子宫内膜一般采用联合疗法,一般采用宫腔灌注促使内膜生长因子;艾箱灸:活血,促进药物吸收;韩式穴位理疗:促内膜生长方案。添加相应口服及阴道放药,补充相应雌激素等。(因人而异,专家亲自问诊,制定专属方案)


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