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目的探讨宫腔镜检查在不孕症宫腔病变中的应用。方法对四川省妇幼保健院2007年1月至2009年6月期间因不孕症行宫腔镜检查的226例患者的相关资料进行回顾性分析。结果宫腔镜检查发现,该226例患者中宫腔内病变者共147例,占65.04%。其中宫腔及颈管粘连56例,占24.78%;子宫内膜炎32例,占14.16%;子宫内膜息肉27例,占11.94%;子宫畸形15例,占6.64%;黏膜下子宫肌瘤9例,占3.98%;宫内膜结核3例,占1.33%;宫腔狭窄3例,占1.33%;宫颈内口松弛2例,占0.88%。全组病例术后除仅有少量阴道流血外,均未出现其他并发症。结论宫腔镜检查诊断宫腔疾病具有直观、准确、无并发症、手术时间短、创伤小、痛苦少、恢复快、不住院等优点,值得推广。
Objective To investigate the application of hysteroscopy in uterine cavity lesions of infertility. Methods The data of 226 cases of hysteroscopy in infertility in Sichuan MCH from January 2007 to June 2009 were analyzed retrospectively. Results hysteroscopy found that 226 cases of intrauterine lesions in a total of 147 cases, accounting for 65.04%. 56 cases were intrauterine and neck adhesions, accounting for 24.78%; 32 cases of endometritis, accounting for 14.16%; 27 cases of endometrial polyps, accounting for 11.94%; 15 cases of uterine malformation, accounting for 6.64%; submucosal uterine fibroids 9 cases, accounting for 3.98%; endometrial tuberculosis in 3 cases, accounting for 1.33%; uterine stenosis in 3 cases, accounting for 1.33%; cervix cervix relaxation in 2 cases, accounting for 0.88%. All patients except for a small amount of postoperative vaginal bleeding, no other complications. Conclusion Hysteroscopy diagnosis of uterine cavity disease with visualization, accuracy, no complications, short operation time, less trauma, less pain, fast recovery, not hospitalized, etc., is worth promoting.