不明原因早期复发性流产患者的宫腔镜检查  

Analysis of the hysteroscopic investigation for early unexplained recurrent spontaneous abortion

作　　者：冯卫彤[1] 王欢华[1] 古衍[1] 

机构地区：[1]深圳市妇幼保健院妇科,广东深圳518028

出　　处：《分子影像学杂志》2015年第3期239-241,共3页Journal of Molecular Imaging

摘　　要：目的评价宫腔镜检查在不明原因早期复发性流产(EURSA)诊治中的价值。方法对我院2010年1月~2014年6月1359例EURSA患者行宫腔镜检查,并分析检查结果。结果宫内病变检出率为29.9%,其中宫腔粘连发生率最高(14.3%),随着流产次数增加宫腔粘连程度加重(P=0.003);其他宫腔病变包括子宫内膜息肉(6.4%)、子宫内膜炎(3.8%)、不全中隔子宫(2.7%)、宫颈机能不全(1.3%)、子宫内膜结核(1.1%)、妊娠物残留(0.4%)。检查中并发症为人流综合症(0.7%)。结论对不明原因早期复发性流产患者行宫腔检查可发现不利于妊娠的宫腔病变,值得临床推广。Objective To evaluate the application of hysteroscopy in the diagnosis of early unexplained recurrent spontaneous abortion(EURSA).Methods A retrospective study is performed to analyze the findings of hysteroscopic examination of 1359 EURSA cases who referred to our hospital during January 2010 to June 2014.Results The occurrence of intrauterine abnormalities is 29.9%,of which,the intrauterine adhesion lie the first row(14.3%),and with the increasing times of abortion,the degree of intrauterine adhesion occur increase(P=0.003).Other intrauterine adnormalities are found including endometrial polyps(6.4%),endometritis(3.8%),uterus subseptus(2.7%),cervical incompetence(1.3%),tuberculosis of endometrium(1.1%),Pregnancy residues(0.4%).The main complication is abortion syndrome(0.7%).Conclusion Hysteroscopy is a safe inspection for the patients of EURSA,which can reveal the unfavorable factors for 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]