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目的探讨宫腔镜治疗宫腔因素所致不孕不育患者的生殖预后疗效。方法研究对象为2008年1月～2011年6月某院收治的被确诊为宫腔因素所致不孕不育的患者56例,实施宫腔镜检查明确导致不孕不育的宫腔因素,并实施宫腔镜手术及治疗后评价患者的生殖预后情况。结果经宫腔镜检查确诊导致不孕不育的宫腔因素包括子宫内膜息肉16例、息肉样增生16例、宫腔黏连14例、子宫纵膈5例、子宫贴膜下肌瘤3例、子宫内膜结核2例,且上述56例患者中共有16例获得妊娠。结论针对宫腔因素所致不孕不育患者实施宫腔镜术,有助于疾病的确诊及治疗,可以明显改善患者的生殖预后,值得临床上推广应用。
Objective To investigate the effect of hysteroscopy on the reproductive prognosis of infertility patients caused by uterine factors. Methods The object of study was 56 cases of infertility patients diagnosed as uterine cavity admitted to a hospital from January 2008 to June 2011. Hysteroscopy confirmed the uterine cavity factors of infertility, And the implementation of hysteroscopic surgery and postoperative evaluation of patients with reproductive prognosis. Results Hysteroscopic diagnosis of infertility caused by uterine factors include 16 cases of endometrial polyps, polypoid hyperplasia in 16 cases, 14 cases of intrauterine adhesions, 5 cases of uterine mediastinum, uterine fibroids in 3 cases , 2 cases of endometrial tuberculosis, and a total of 16 cases of 56 patients received pregnancy. Conclusion The implementation of hysteroscopy in patients with infertility caused by uterine factors contributes to the diagnosis and treatment of the disease and can significantly improve the reproductive prognosis of patients, which is worth popularizing and applying in clinic.