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目的:探讨宫腔镜在诊治宫腔内因素所致不孕不育的价值。方法:对我院2003年12月至2005年12月1 405例疑为宫腔内因素导致不孕不育者行宫腔镜检查治疗的结果进行回顾性分析。结果:1 405例患者中宫腔粘连497例,占35.4%;子宫内膜息肉及黏膜下肌瘤共397例,占28.2%;输卵管近端阻塞241例,占17.2%;异物残留30例,占2.2%;子宫畸形121例,占8.6%;正常宫腔119例,占8.5%。结论:检查性宫腔镜诊断宫腔内疾患直观、准确、简便,并可同时完成简单的镜下手术,效果佳,费用低。
Objective: To explore the value of hysteroscopy in the diagnosis and treatment of infertility caused by intrauterine factors. Methods: A retrospective analysis was performed on the results of hysteroscopy in 1 405 cases of infertility caused by intrauterine factors in our hospital from December 2003 to December 2005. Results: There were 497 cases (35.4%) of intrauterine adhesions in 1 405 cases, 397 cases of endometrial polyps and submucous myoma (28.2%), 241 cases of proximal tubal obstruction (17.2%), 30 cases of residual foreign bodies Accounting for 2.2%; 121 cases of uterine malformations, accounting for 8.6%; 119 cases of normal uterine cavity, accounting for 8.5%. Conclusion: Hysteroscopy diagnosis of intrauterine disorders is intuitive, accurate and simple, and can be completed at the same time a simple microsurgery, good effect, low cost.