复发性流产患者宫腔镜检查结果分析  

Analysis of the hysteroscopic investigation for recurrent spontaneous abortion

作　　者：翁梅英[1] 李琳[1] 洪顺家[1] 冯淑英[1] 

机构地区：[1]中山大学孙逸仙纪念医院妇产科,广东广州510120

出　　处：《海南医学》2012年第18期9-11,共3页Hainan Medical Journal

基　　金：广东省科技计划项目(编号:2010B031600201)

摘　　要：目的评价宫腔镜检查在复发性流产诊治中的应用价值。方法对2008年6月至2010年6月于中山大学孙逸仙纪念医院就医的1594例复发性流产患者,经知情同意后进行宫腔镜检查,并对检查结果进行回顾性分析。结果发现宫腔粘连发生率达33%(526例),而且流产≥3次患者宫腔粘连发生率高于两次流产患者(38.7%v.s.26.27%,P<0.001)。同时发现其他宫腔异常,包括宫颈机能不全19例(1.2%)、子宫内膜息肉61例(3.83%)、单角子宫3例(0.2%)等。在检查中发生的主要不良反应是人流综合征,共14例,发生率为0.88%。结论宫腔镜检查是一项无创、安全性高的检查,对复发性流产患者进行宫腔镜检查可以发现不利于再次怀孕的宫腔因素,值得临床推广。Objective To evaluate the application of hysteroscopy in the diagnosis of recurrent spontaneous abortion. Methods A retrospective study was performed to analyze the findings of 1 594 cases of recurrent spontane- ous abortion, which underwent hysteroscopic investigation after consent from June 2008 to June 2010. Results The occurrence of intrauterine adhesion was 33%, which was significantly higher in the patients suffering 3 or more times of spontaneous abortion than those suffering two times of spontaneous abortion （38.7% v.s. 26.27%, P〈0.001）. Other in- trauterine abnormalities were found, including 19 cases （1.2%） of cervical incompetence, 61 cases （3.83%） ofendometri- al polyps, 3 cases （0.2%） of single horn uterus. 14 cases （0.88%） of abortion syndrome was found. Conclusion Hysteroscopy is a non-invasive, safe inspection for the patients with recurrent spontaneous abortion, which can reveal the unfavorable factors for following pregnancy and is worthy of extension in clinical application.

关 键 词：复发性流产 宫腔镜 宫腔粘连 

分 类 号：R714.21[医药卫生—妇产科学]