宫腔镜检查及治疗不孕症的临床效果分析  

Clinical Efficacy of Hysteroscopy in Treatment of Barrenness

作　　者：彭小莹 文晓荣[1] 黄建飞[1] 彭巧捷 

机构地区：[1]深圳市龙岗区横岗人民医院妇科,广东深圳518115

出　　处：《实用临床医学（江西）》2012年第4期68-69,71,共3页Practical Clinical Medicine

摘　　要：目的探讨宫腔镜检查和手术应用于不孕症治疗的临床效果。方法对收治的122例不孕症女性患者行宫腔镜检查以及治疗。结果 122例患者发现宫腔异常87例,异常率为71.3%。87例患者均行定位诊刮术治疗,治疗后1年内宫内妊娠64例,妊娠率为73.6%。另35例输卵管异常的患者行通液加压配合中药理疗和抗感染治疗,治疗后输卵管通畅者32例,完全不通畅者3例,总有效率为91.4%。结论宫腔镜可直接观察宫腔内情况,同时可在镜下直接手术治疗,矫治宫内病变以提高妊娠率。Objective To observe the clinical effects of hysteroscopy and surgery in patients with barrenness. Methods Diagnostic hysteroscopy and surgical treatment were performed for barrenness in 122 patients. Results Among the 122 patients, 87 （71.3%）were afflicted with an abnormal ute fine cavity and were treated with curettage. Sixty-four（73.6%） of the 87 patients were pregnant within 1 year after treatment. Among the 35 patients with fallopian tube anomalies who were treated with pressurizing fluid, traditional Chinese medicine and anti-infective therapy, tubal patency was achieved in 32 and complete tubal obstruction occurred in 3. The effective rate was 91.4%. Conclusion The situation of uterine cavity can be directly observed by hysteroscopy. Meanwhile, hysteroscopic surgery can be used for intrauterine lesions to improve the pregnancy rate in patients with barrenness.

关 键 词：宫腔镜 诊断 治疗 不孕症 

分 类 号：R473.6[医药卫生—护理学]