宫腔镜检查对不孕症的诊断价值  

Clinical value of hysteroscopy in diagnosis of infertility

作　　者：滑玮[1] 邹伟[1] 杨红[1] 刘朵朵[1] 高燕[1] 白璐[1] 陈必良[1] 

机构地区：[1]第四军医大学西京医院妇产科,陕西西安710032

出　　处：《临床军医杂志》2014年第11期1162-1164,共3页Clinical Journal of Medical Officers

摘　　要：目的探讨宫腔镜检查对不孕症的诊断价值。方法对2011年1月-2013年1月因不孕症需行试管婴儿治疗的1 231例患者的临床资料进行回顾性分析。所有患者均行阴道B超及宫腔镜检查,评估宫腔镜检查对宫腔内病变的显示情况,并比较阴道B超、造影、宫腔镜三种诊断方法对不孕症患者宫腔内病变的诊断能力。结果 1 231例不孕患者中,宫腔镜检查显示宫内病变有502例,B超检查显示宫腔内病变224例,子宫输卵管造影显示宫腔内病变185例。宫腔镜检查的诊断阳性率明显高于B超和造影,而B超和造影检查在不同方面有各自的优势。结论宫腔镜检查可作为不明原因不孕症患者拟行试管婴儿前的常规检查方法,其对不孕症患者宫腔内病变有重要的诊断价值。Objective To investigate the clinical value of hysteroscopy in diagnosis of infertility. Methods Clinical data of 1,231 patients with infertility who need in-vitro fertilization （IVF） therapy from Jan 2011 to Jan 2013 were analyzed. All the patients were assessed for intrauterine lesions by transvaginal ultrasound examination and hysteroscopy. The diagnostic consistency of intrauterine lesions by transvaginal ultrasound examination, hysterosalpingography and hysteroscopy was analyzed. Results Among all the patients,502 intrauterine lesions were detected by hysteroscopy;224 intrauterine lesions were detected by transvaginal ultrasound examination ; 185 intrauterine lesions were detected by hysterosalpingography. Hysteroscopy was the best examination option in detection of intrauterine lesions, while the other two methods had their own advantages. Conclusion Hysteroscopy, which has important value in detection of intrauterine lesions, may be regarded as a routine examination before IVF or for patients suffering from unexplained infertility.

关 键 词：宫腔镜 不孕症 B超 子宫输卵管造影 

分 类 号：R271.14[医药卫生—中医妇科学]