宫腔镜检查在复发性流产、原发和继发不孕症宫腔病变诊断中的应用价值  

Value of hysteroscopy in diagnosis of recurrent abortion, primary and secondary infertility

作　　者：胡利辉 邹晓红 陈梅连 Hu Lihui;Zou Xiaohong;Chen Meilian(Gaoyao District People's Hospital,Zhaoqing City,Guangdong Province,Zhaoqing Guangdong,526040,China)

机构地区：[1]广东省肇庆市高要区人民医院,广东肇庆526040

出　　处：《中外女性健康研究》2023年第2期15-16,61,共3页Women＇s Health Research

基　　金：国家自然科学基金项目:新型经宫腔镜输卵管绝育栓的应用基础研究,项目编号:81170609。

摘　　要：目的:探究复发性流产和不孕症的宫腔镜检查结果差异分析。方法:回顾性分析本院2019年1月至2020年2月收治的20例复发性流产患者(A组)和30例不孕症患者[其中原发不孕症患者16例(B组),继发不孕症患者14例(C组)],对比三组患者的宫腔镜检查结果。结果:50例患者中,30例正常,20例存在宫腔病变,宫腔粘连占比最高,子宫内膜息肉为其次,宫腔镜检查并发症发生率为4.00%;复发性流产患者子宫粘连检出率最高,继发不孕症患者宫腔镜检查正常比例最高,原发不孕症患者子宫内膜息肉检出率最高(P<0.05)。结论:复发性流产和不孕症的宫腔镜检查结果具有一定差异性,早期筛查可帮助患者排除宫腔病变。Objective:Exploring the difference analysis of hysteroscopy results between recurrent miscarriage and infertility.Methods:A retrospective analysis of 20 patients with recurrent miscarriage(group A)and 30 patients with infertility admitted to our hospital from January 2019 to February 2020[including 16 patients with primary infertility(group B),secondary 14 cases of infertility patients(group C)].Compare the hysteroscopy results of the three groups of patients.Results:Among the 50 patients,30 were normal and 20 had uterine cavity lesions.Uterine adhesions accounted for the highest proportion,followed by endometrial polyps.The complication rate of hysteroscopy was 4.00%.The detection rate of uterine adhesions was the highest in patients with recurrent miscarriage,the normal rate of hysteroscopy was the highest in patients with secondary infertility,and the detection rate of endometrial polyps was the highest in patients with primary infertility(P<0.05).Conclusion:Hysteroscopy results for recurrent miscarriage and infertility have certain differences,and early screening can help patients rule out uterine cavity lesions.

关 键 词：宫腔镜检查 复发性流产 原发不孕症 继发不孕症 宫腔病变 

分 类 号：R711.6[医药卫生—妇产科学]