宫腔镜检查术在诊断与治疗女性不孕症中的意义分析  

Analysis of Significance of Hysteroscopy in the Diagnosis and Treatment of Female Infertility

作　　者：盛清[1] 薛惠英[1] 

机构地区：[1]淮安市妇幼保健院不孕不育科,江苏淮安223001

出　　处：《中国继续医学教育》2016年第32期114-115,共2页China Continuing Medical Education

摘　　要：目的探究分析宫腔镜检查术在女性不孕症诊断与治疗中的临床意义。方法对我院收治的76例行宫腔镜检查术的女性不孕症患者临床和病历资料开展回顾性分析,观察检查结果中不孕症类型。将宫腔镜检查结果与术后病理诊断结果进行对比,统计两种方法差异。随访1年,统计妊娠成功率。结果宫腔镜检查术中发现6例患者输卵管堵塞;宫腔镜检查和术后病理检查结果比较,差异均无统计学意义(P>0.05);宫腔镜检查与术后病理检查子宫内膜炎、子宫内膜息肉、黏膜下子宫肌瘤、子宫纵膈方面符合率分别为84.00%、92.00%、92.31%、90.91%;共有42例妊娠成功,妊娠成功率为55.26%。结论宫腔镜检查术在女性不孕症诊断和治疗中应用价值均较高。Objective To explore and analyze the clinical significance of hysteroscopy in the diagnosis and treatment of female infertility. MethodsThe clinical and case data of 76 cases of patients with female infertility treated with hysteroscopy in our hospital were retrospectively analyzed, and the types of infertility in the diagnosis results were observed. The diagnosis results by hysteroscopy were compared with the postoperative pathological diagnosis results, and the differences between the two were counted. The patients were given 1-year-following-up, and the pregnancy success rate was counted.Results There were 6 cases of patients with fallopian tube jam in the hysteroscopy, and there were no signiifcant differences in the diagnosis results by hysteroscopy and the postoperative pathological diagnosis （P〉0.05）, the incidence rates in endometritis, endometrial polyps, submucousmyoma of uterus, uterine mediastinum were respectively 84.00%, 92.00%, 92.31%, 90.91%. A total of 42 cases of pregnancy success, of which the rate was 55.26%. ConclusionHysteroscopy in the diagnosis and treatment of female infertility were higher.

关 键 词：宫腔镜检查术 女性不孕症 诊断 治疗 临床意义 

分 类 号：R711.6[医药卫生—妇产科学]