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目的探讨宫腔镜用于异常子宫出血和不孕症的临床疗效。方法回顾分析近两年本院收治的122例异常子宫出血和31例不孕症患者诊疗过程。结果 79例异常子宫出血病例诊断准确率86.3%;宫腔镜下输卵管通液术19例,子宫内膜息肉切除术21例,子宫肌瘤切除术13例,清宫术3例,用时34±3.1min,术中出血45±5.9ml,平均住院天数3.9d,术后总有效率96.2%。结论宫腔镜用于诊断异常子宫出血准确率高,治疗方法安全、有效;宫腔镜检查可发现不孕症患者宫腔异常,有助于提高再次助孕的成功率,可作为不孕症患者筛查检查手段。
Objective To investigate the clinical efficacy of hysteroscopy in the treatment of abnormal uterine bleeding and infertility. Methods Retrospective analysis of 122 cases of abnormal uterine bleeding and 31 cases of infertility treatment in our hospital in the past two years. Results 79 cases of abnormal uterine bleeding in the diagnosis of 86.3% accuracy; hysteroscopic tubal fluid in 19 cases, endometrial polypectomy in 21 cases, hysterectomy in 13 cases, curettage in 3 cases, with a time of 34 ± 3.1 min, intraoperative bleeding 45 ± 5.9ml, the average length of stay 3.9d, the total effective rate 96.2%. Conclusion Hysteroscopy is an accurate and safe method for the diagnosis of abnormal uterine bleeding. Hysteroscopy can detect uterine cavity abnormalities in infertility patients and help to improve the success rate of pregnancy-assisted pregnancy. It can be used as infertility Patient screening test.