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目的探究分析不孕不育症宫腔镜诊治的生殖预后。方法采用回顾性分析的方法 ,分析了324例宫腔镜诊治不孕不育症患者的临床资料,根据患者手术方法的不同,分为黏膜下子宫肌瘤切除(TCRM术组,36例)、宫腔镜下子宫纵隔电切术(TCRS术组,84例)、宫腔镜下子宫粘连电切手术(TCRA术组,180例)、宫腔镜子宫内膜切除术(TCRP术组,24例),对比四组的妊娠率以及妊娠结局。结果 TCRM术组、TCRS术组、TCRA术组、TCRP术组的妊娠率分别为83.3%、45.2%、43.3%、91.7%,而TCRM术组、TCRS术组、TCRA术组、TCRP术组四组的足月产率则分别为86.7%、78.9%、53.8%、100.0%。结论对不孕不育症患者采用宫腔镜诊治,临床效果显著,明显提高患者的预后情况,减少术后并发症发生率,且患者满意度高,值得临床广泛推广使用。
Objective To investigate the reproductive prognosis of hysteroscopic diagnosis and treatment of infertility. Methods A retrospective analysis of 324 cases of hysteroscopic diagnosis and treatment of infertility patients with clinical data, according to the different surgical methods, divided into submucosal myomectomy (TCRM group, 36 cases) Hysteroscopic resection of the mediastinum (TCRS group, 84 cases), hysteroscopic uterine resection (TCRA group, 180 cases), hysteroscopic endometrial ablation (TCRP group, 24 Cases), comparing the pregnancy rate of the four groups and pregnancy outcomes. Results The pregnancy rates of TCRM group, TCRS group, TCRA group and TCRP group were 83.3%, 45.2%, 43.3% and 91.7%, respectively. The rates of pregnancy in TCRM group, TCRS group, TCRA group and TCRP group Group full-term monthly production rates were 86.7%, 78.9%, 53.8%, 100.0%. Conclusion Hysteroscopy diagnosis and treatment of infertility patients with significant clinical results, significantly improve the prognosis of patients and reduce the incidence of postoperative complications, and patients with high satisfaction, it is widely used in clinical promotion.