生殖医学杂志2023年9月第32卷第9期:1451DOI:10.3969/j.issn.1004-3845.2023.09.026经阴道超声评估子宫内膜容受性的应用研究进展李政英，王惠*（重庆医科大学附属大学城医院超声科，重庆401331)【摘要】胚胎的成功着床依赖于优质胚胎、良好的子宫内膜容受性及两者之间的同步发育。子宫内膜容受性是指子宫内膜接受并容纳胚胎的能力，内膜容受性低下会造成胚胎着床失败，是不孕症以及辅助生殖治疗失败的主要原因。近年来，评估子宫内膜容受性的超声技术与指标也由形态学描述到生理学特征描述过渡。本文就近年来经阴道超声评估子宫内膜容受性的临床研究进行综述，总结子宫内膜的形态学、生理学和血流灌注指标，以及多模态超声在评价子宫内膜组织形态学及其与子宫内膜容受性的关系的应用，以期找到最合适的评价子宫内膜容受性的方法和指标，为后续的临床研究和应用提供参考和帮助。【关键词】子宫内膜容受性；经阴道超声；不孕；辅助生殖治疗【中图分类号】R711.6ProgressofendometrialreceptivityevaluatedbytransvaginalultrasonographyLIZheng-ying,WANGHui*DepartmentofUltrasound,University-TownHospitalofChongqingMedicalUniversity,Chongqing401331[Abstract]Successfulembryoimplantationdependsonthehigh-qualityembryos,goodendometrialreceptivityandsynchronousdevelopmentofboth.Endometrialreceptivityreferstothecompetenceofendometriumtoacceptandaccommodateembryo.Lowendometrialreceptivitycanleadtoimplantationfailure,whichisthemainreasonforinfertilityandassistedreproductivetechnologytreatmentfailure.Inrecentyears,ultrasoundtechniquesandindicatorsforevaluatingendometrialreceptivityhavetransitionedfrommorphologicaldescriptiontophysiologicalcharacteristicsdescription.Thispaperreviewedtheclinicalresearchonendometrialreceptivityassessedbytransvaginalultrasoundinrecentyears,summarizedthemorphological,physiologicalandbloodperfusionindicatorsoftheendometrium,aswellastheapplicationofmultimodalultrasoundforevaluatingendometrialhistomorphologyanditsrelationshipwithendometrialreceptivity,inordertofindthebestmethodandindextoevaluatetheendometriumreceptivity,andprovidereferenceandassistanceforsubsequentclinicalresearchandapplication.【Keywords】Endometrialreceptivity;r...
