宫腔镜手术在宫腔因素所致不孕不育患者中的应用效果  

Effect of hysteroscopic surgery in patients with infertility caused by uterine disorders

作　　者：张莉莉[1] 李秋敏[1] 

机构地区：[1]陕西省人民医院产科,陕西西安716000

出　　处：《临床医学研究与实践》2018年第5期74-75,共2页Clinical Research and Practice

摘　　要：目的探讨宫腔镜手术在宫腔因素所致不孕不育患者中的应用效果,并评价其临床治疗效果。方法回顾性分析在我院进行治疗的因宫腔因素导致不孕不育的90例患者的临床资料,在确定患者的宫腔异常因素后,根据患者的实际情况均行宫腔镜治疗,观察所有患者的宫腔镜检查情况,分析所有不同宫腔因素患者的预后结果。结果所有患者均顺利完成宫腔镜手术;手术时间40~60 min,平均(48.34±13.41)min;术中出血量为15~80 m L,平均(40.38±8.34)m L;所有患者术后均无并发症发生。90例患者中,子宫内膜息肉者占比最高(38.89%),其次是宫腔粘连(27.78%)、子宫纵膈(18.89%),子宫内膜息肉是导致不孕不育的主要宫腔因素。治疗后,患者的妊娠率高达到71.11%,自然流产率为21.11%,早产率为11.11%,足月活产率为38.89%。结论对于宫腔因素所致不孕不育患者来说,在确定患者的宫腔异常因素后采用宫腔镜治疗的临床效果显著,患者治疗后生殖预后情况良好,能够显著提高患者的受孕率。Objective To explore the effect of hysteroscopic surgery in patients with infertility caused by uterine disorders, and to evaluate its clinical effect. Methods The clinical data of 90 patients with infertility caused by uterine disorders in our hospital were retrospectively analyzed. After making sure the patients＇ actual situation, the hysteroscopic surgery were conducted in all patients, the hysteroscopy results in all patients were observed, and the prognosis was analyzed with different uterine factors. Results All patients successfully completed hysteroscopic surgery; the operative time were from 40 to 60 min, and the mean was（48.34±13.41） min; the intraoperative blood loss were from 15 to 80 m L, and the mean was（40.38 ±8.34） m L; all patients had no complication after surgery. Of the 90 patients, endometrial polyps accounted for the highest proportion（38.89%）, followed by intrauterine adhesions（27.78%） and uterine mediastinum（18.89%）, endometrial polyps was the main factor leading to uterine infertility. After treatment, the pregnancy rate of patients reached as high as71.11%, spontaneous abortion rate was 21.11%, premature birth rate was 11.11%, full-term live birth rate was 38.89%.Conclusion For infertility patients caused by uterine disorders, hysteroscopic surgery has obvious effect after making sure the uterine disorders, with good reproductive prognosis, and can significantly improve the patients＇ pregnancy rate.

关 键 词：宫腔镜 不孕不育 生殖预后 子宫内膜息肉 宫腔粘连 

分 类 号：R713[医药卫生—妇产科学]