宫腔镜检查在不孕症诊断中的临床价值  

The clinical value of hysteroscopy in the diagnosis of infertility

作　　者：芮红苇[1] 罗永梅 Rui Hongwei;Luo Yongmei(Department of Gynecology,First Division Hospital ofXinjiang Production and Construction Corps,Aksu 843000,China)

机构地区：[1]新疆生产建设兵团第一师医院妇科,新疆阿克苏843000

出　　处：《实用妇科内分泌电子杂志》2021年第18期82-85,共4页Electronic Journal of Practical Gynecological Endocrinology

摘　　要：目的探究宫腔镜检查在不孕症诊断中的临床价值。方法选取78例疑似不孕症患者,患者均接受阴道B超检查及宫腔镜检查,并以病理检查结果为金标准。比较两种检查方式的检出结果、诊断效能及疾病分类检出情况。结果78例疑似不孕症患者,阳性诊断89.74%,阴性诊断10.26%,检查中先天性子宫异常、纵隔子宫、单角子宫、子宫内膜息肉、宫腔粘连分别为10例、12例、15例、18例、15例。阴道B超检查诊断为阳性62例,阴性16例,其中58例为确诊不孕症患者,占比82.86%;宫腔镜检查诊断为阳性69例,阴性9例,其中68例为确诊不孕症患者,占比97.14%。宫腔镜阳性检出率、敏感性、诊断符合率高于阴道B超,差异具有统计学意义(P<0.05)。宫腔镜对先天性子宫异常、纵隔子宫、单角子宫、子宫内膜息肉、宫腔粘连的检出率均略高于阴道B超,但差异不具备统计学意义(P>0.05)。结论不孕症患者在诊断过程中利用宫腔镜检查,可显著提高诊断精准性,且具有较高的特异性及敏感性,值得临床推广与应用。Objective To explore the clinical value of hysteroscopy in the diagnosis of infertility.Methods A total of 78 patients with suspected infertility were selected.All patients underwent vaginal B-ultrasound and hysteroscopy,and pathological examination results were used as the gold standard.The detection results,diagnostic performance and disease classification detection of the two inspection methods were compared.Results In 78 patients with suspected infertility,the positive diagnosis was 89.74%,and the negative diagnosis was 10.26%.Congenital abnormal uterus,mediastinal uterus,single horn uterus,endometrial polyp,and intrauterine adhesion were 10,12,15,18,15,respectively.Vaginal B-ultrasound diagnosis was positive in 62 cases and negative in 16 cases,of which 58 cases were true infertility patients,accounting for 82.86%;Hysteroscopy was diagnosed as positive in 69 cases and negative in 9 cases,of which 68 were true infertility patients,accounting for 97.14%.The positive detection rate,sensitivity and diagnostic coincidence rate of hysteroscopy were higher than those of vaginal ultrasound,and the differences were statistically significant(P<0.05).The detection rates of congenital uterine anomalies,septate uterus,unicornuate uterus,endometrial polyps and intrauterine adhesions by hysteroscopy were slightly higher than those by vaginal ultrasound,but the difference was not statistically significant(P>0.05).Conclusion Hysteroscopy in the diagnosis of infertility patients can significantly improve the accuracy of diagnosis,and has high specificity and sensitivity,worthy of clinical promotion.

关 键 词：不孕症 宫腔镜 诊断价值 

分 类 号：R711.6[医药卫生—妇产科学]