宫腔镜检查在不孕症中的应用价值探讨  

Discussion on Application Value of Hysteroscopy in Infertility

作　　者：李胜梅[1] 

机构地区：[1]四川省妇幼保健院.四川省妇女儿童医院,成都610031

出　　处：《中国循证医学杂志》2010年第12期1467-1468,共2页Chinese Journal of Evidence-based Medicine

摘　　要：目的探讨宫腔镜检查在不孕症宫腔病变中的应用。方法对四川省妇幼保健院2007年1月至2009年6月期间因不孕症行宫腔镜检查的226例患者的相关资料进行回顾性分析。结果宫腔镜检查发现,该226例患者中宫腔内病变者共147例,占65.04%。其中宫腔及颈管粘连56例,占24.78%;子宫内膜炎32例,占14.16%;子宫内膜息肉27例,占11.94%;子宫畸形15例,占6.64%;黏膜下子宫肌瘤9例,占3.98%;宫内膜结核3例,占1.33%;宫腔狭窄3例,占1.33%;宫颈内口松弛2例,占0.88%。全组病例术后除仅有少量阴道流血外,均未出现其他并发症。结论宫腔镜检查诊断宫腔疾病具有直观、准确、无并发症、手术时间短、创伤小、痛苦少、恢复快、不住院等优点,值得推广。Objective To investigate the application of hysteroscopy in pathological changes of infertility uterus.Methods The clinical data of 226 cases of infertility females receiving hysteroscopy from January 2007 to June 2009 in Sichuan Provincial Hospital for Women and Children were retrospectively analyzed.Results In 226 cases,hysteroscopic examination identified 147 cases of intrauterine diseases（65.04%）,including 56 cases of intrauterine adhesion（24.78%）,32 cases of endometritis（14.16%）,27 cases of endometrial polyps（11.94%）,15 cases of uterine malformation（6.64%）,9 cases of submucous myoma（3.98%）,3 cases of endometrial tuberculosis（1.33%）,3 cases of uterus cavity narrow（1.33%）,2 cases of cervical internal relaxation（0.88%）.No postoperative complications occurred,except for a small amount of vaginal bleeding.Conclusion For the diagnosis of the pathological changes in uterus,hysteroscopy is a direct and accurate method with less operative duration,less trauma,less pain,quick recovery,no complications,and no necessity for hospitalization.It is worth to be popularized.

关 键 词：宫腔镜检查 不孕症 宫腔病变 

分 类 号：R713[医药卫生—妇产科学]