To evaluate the clinical value of new types of adenomyosis in improving endometrial receptivity
评估子宫腺肌症新分型对改善子宫内膜容受性的临床价值

摘要

目的 该研究旨在分析基于超声的子宫腺肌症创新分型方法（内生型、外生型、肌壁间型及其他类型）对子宫内膜容受性及提升孕育能力方面的实际临床应用价值。方法 采用回顾性研究设计，对84名子宫腺肌症患者应用新的分型方法进行分类。以及子宫内膜厚度、卵巢大小、容积、血流动力学变化及孕育结果对子宫内膜容受性的相关性研究。结果 应用新分型方法后，相较于传统分类，明显提高了对内膜容受性和孕育能力的预测敏感性和特异性。内生型、外生型、肌壁间型及其他类型在生殖和血流动力学参数上均表现出显著差异，验证了新分型的临床应用价值。结论 新的子宫腺肌症分型方法使医生能够获取更精确的病情评估个性化治疗方案，及评估预测和改善治疗结果方面的有效性，显著提升提高了患者子宫对胚胎的容受性及其生殖能力。

Abstract

Objective The purpose of this study was to analyze the practical clinical application value of ultrasound-based innovative classification methods for adenomyosis (endogenous, exogenous, intermuscular and other types) on endometrial receptivity and pregnancy enhancement.
Methods A retrospective study design was used to classify 84 patients with adenomyosis by a new classification method. The correlation of endometrial thickness, ovary size, volume, hemodynamic changes and pregnancy results on endometrial receptivity was studied.
Results Compared with the traditional classification, the new classification significantly improved the sensitivity and specificity of endometrial receptivity and gestation ability. Endogenic, exogenous, intermuscular and other types showed significant differences in reproductive and hemodynamic parameters, which verified the clinical application value of the new type.
Conclusion   The new classification method for uterine adenomyosis enables physicians to obtain a more accurate assessment of personalized treatment and evaluate the effectiveness of predicting and improving treatment outcomes, significantly improving the patient's uterine receptivity to embryos and its reproductive capacity.