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目的探讨宫腔镜在诊治不孕症中的临床应用价值。方法回顾性分析我院2009年4月-2011年3月收治的82例妇产科不孕不育患者,采用宫腔镜进行临床诊断与镜下输液管通液术治疗。结果本组82例中原发不孕21例,占25.6%,继发不孕61例,占73.4%。原发不孕组输卵管堵塞共4例,占19.0%,继发不孕26例,占42.6%。一侧输卵管堵塞者原发不孕与继发不孕分别为3例(14.3%)及19例(31.1%),P<0.05。二侧输卵管堵塞者原发不孕与继发不孕分别为1例(4.8%)及7例(11.5%),P<0.05。其中原发不孕中宫腔粘连、宫内残留均为0例,子宫发育异常为2例。而在继发不孕中宫腔粘连、宫内残留、子宫发育异常分别为1例、2例及0例。内膜息肉,原发不孕与继发不孕分别为2例及5例,两组比较P>0.05。结论宫腔镜检查诊断宫腔疾病具有安全、准确、直观、创伤小等优点,值得临床推广。
Objective To investigate the clinical value of hysteroscopy in diagnosis and treatment of infertility. Methods A retrospective analysis of 82 cases of obstetrics and gynecology infertility patients treated in our hospital from April 2009 to March 2011 were retrospectively analyzed. Hysteroscopy was used to diagnose and treat the transfusion tubes under the microscope. Results The group of 82 cases of primary infertility in 21 cases, accounting for 25.6%, 61 cases of secondary infertility, accounting for 73.4%. Primary infertility group tubal blockage in 4 cases, 19.0%, 26 cases of secondary infertility, accounting for 42.6%. Three cases (14.3%) and 19 cases (31.1%) had primary tubal obstruction and secondary infertility respectively, P <0.05. One case (4.8%) and 7 cases (11.5%) were primary infertility and secondary infertility with bilateral tubal blockage, respectively, P <0.05. Including the primary infertility intrauterine adhesions, intrauterine residual were 0 cases, uterine abnormalities in 2 cases. In the secondary infertility, intrauterine adhesions, intrauterine residue, uterine abnormalities were 1 case, 2 cases and 0 cases. Endometrial polyps, primary infertility and secondary infertility were 2 cases and 5 cases, the two groups compared P> 0.05. Conclusion Hysteroscopy diagnosis of uterine cavity disease is safe, accurate, intuitive, small trauma and other advantages, it is worth clinical promotion.