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目的探讨宫腔镜应用于不孕症中的临床效果。方法回顾分析32例患者的临床资料。结果宫腔镜下行电切手术21例,诊刮术11例;经检查输卵管通畅15例,部分通畅12例,完全不通畅5例,连续宫腔镜下疏通治疗配合中药理疗、抗3个疗程,部分通畅14例,完全不通畅3例。术后12个月后随访,宫腔异常的10例患者中7例妊娠,而因输卵管病变患者中妊娠率45%;术后妊娠时间2~12个月,其中1例发生输卵管妊娠,余者正常宫内妊娠,无并发症发生。结论宫腔镜检查是一种安全有效的评价宫腔内病变的检查方法,可作为不孕患者的常规检查。宫腔镜诊治不孕症有助于及时了解不孕症的原因,正确处理,改善妊娠率。
Objective To investigate the clinical effect of hysteroscopy in infertility. Methods The clinical data of 32 patients were retrospectively analyzed. Results Hysteroscopic surgery in 21 cases, curettage in 11 cases; check tubal patency in 15 cases, partial patency in 12 cases, completely unobserved in 5 cases, continuous hysteroscopic treatment with Chinese medicine therapy, anti-3 courses , Partially smooth in 14 cases, completely unobstructed in 3 cases. After 12 months of follow-up, intrauterine abnormalities in 10 patients in 7 cases of pregnancy, and tubal disease in patients with pregnancy rate of 45%; postoperative pregnancy 2 to 12 months, of which 1 case of tubal pregnancy, the remaining Normal intrauterine pregnancy, no complications. Conclusion Hysteroscopy is a safe and effective method for the evaluation of intrauterine lesions, which can be used as a routine examination of infertile patients. Hysteroscopy diagnosis and treatment of infertility help to understand the causes of infertility, correct treatment, improve pregnancy rate.