Indexing
CÁC SỐ TỪ 2011-2023
Tạp chí Y Dược Học
Abstract
Abstract:
Background: Chronic endometritis (CE) is a persistent inflammation of the endometrial lining. The prevalence of CE is high in infertile women. There is no accepted diagnostic standard. Objectives: evaluate the prevalence of CE, the characteristics of CE patients, assess the diagnostic value of CE diagnosis via hysteroscopy compared to endometrial biopsy. Methods: A prospective study was conducted on 103 patients undergoing in vitro fertilization (IVF) at Hai Phong Obstetrics and Gynecology Hospital between August 2024 and August 2025. The diagnostic criterion of biopsy for CE: ≥5 CD138+ plasma cells per 10 high-power fields (HPF); diagnostic hysteroscopy is Delphi. Results: The prevalence of CE among IVF patients was 37.8% (39/103). The most frequently hysteroscopic finding associated with CE are endometrial hyperemia (37.7%) and micropolyps (43.1%); however, these findings are not specific for CE; diffuse endometrial hyperemia was significantly higher in the CE group compared with the normal group. The diagnostic performance of hysteroscopy compared with histopathology showed a Se 85%, Sp 22%, PPV 40%, NPV 70%. The predictive ability of hysteroscopy for diagnosing CE relative to histopathological confirmation is moderate. No significant risk factors for CE were identified. Conclusion: The independent diagnostic value of hysteroscopy compared with endometrial biopsy with CD138 immunohistochemistry was moderate.
| Published | 2026-06-28 | |
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| Issue | Vol. 16 No. 3 (2026) | |
| Section | Original Articles | |
| DOI | 10.34071/jmp.2026.3.930 | |
| Keywords | Keywords: Endometritis, hysteroscopy, endometrial biopsy. Từ khóa: viêm niêm mạc tử cung mạn tính, nội soi buồng tử cung, sinh thiết niêm mạc tử cung. |
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Copyright (c) 2026 Hue Journal of Medicine and Pharmacy
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