CAJ | 학술논문

有着床能力的胚胎、容受性良好的子宫内膜以及胚胎和母体的相互作用是胚胎成功种植的主要因素。子宫内膜厚度仍是目前临床评价子宫内膜容受性的重要指标。月经周期中子宫内膜厚度可以反映内膜功能状态，子宫内膜充分的增殖和向分泌期转化是胚胎成功着床的前提条件之一。目前一致认为，薄型子宫内膜显著降低胚胎种植率，此外，薄型子宫内膜也是导致女性不孕的重要原因之一。因此，探索薄型子宫内膜的病因并积极治疗、提高子宫内膜的容受性非常重要。对妨碍胚胎种植的子宫内膜进行预处理，通过治疗使子宫内膜增加至正常厚度，将有助于提高妊娠率及活产率。然而，目前薄型子宫内膜的治疗方法大多效果不理想。综述薄型子宫内膜的定义、病因及临床处理研究进展。
유착상능력적배태、용수성량호적자궁내막이급배태화모체적상호작용시배태성공충식적주요인소。자궁내막후도잉시목전림상평개자궁내막용수성적중요지표。월경주기중자궁내막후도가이반영내막공능상태，자궁내막충분적증식화향분비기전화시배태성공착상적전제조건지일。목전일치인위，박형자궁내막현저강저배태충식솔，차외，박형자궁내막야시도치녀성불잉적중요원인지일。인차，탐색박형자궁내막적병인병적겁치료、제고자궁내막적용수성비상중요。대방애배태충식적자궁내막진행예처리，통과치료사자궁내막증가지정상후도，장유조우제고임신솔급활산솔。연이，목전박형자궁내막적치료방법대다효과불이상。종술박형자궁내막적정의、병인급림상처리연구진전。
The main factors of successful implantation of embryo include the ability to bed, the good receptive endometrium, the interaction of embryo and maternal. Endometrial thickness has been evaluated as a possible predictor of endometrial receptivity. Endometrial thickness in menstrual cycle can reflect the state of endometrial function. Adequate proliferation and secretory changes during the luteal phase is considered to be one of the prerequisites for successful implantation of the embryo. Reports have shown that a thin endometrium is closely associated with lower implantation rates. Furthermore, thin endometrium is an important cause of female infertility. It is important to look for the etiology, active treatment, and improve the endometrium receptivity. Pretreatment to the thin endometrium and increasing endometrial thickness to normal condition will help to improve the rates of pregnancy and live birth. However, the treatments of thin endometrium are not ideal at present. In this paper,we will review the definition,etiology and clinical treatment of thin endometrium.