摘要
目的探讨宫腔镜检查在女性不孕症患者中的应用。方法回顾性分析原发性不孕180例,继发不孕322例患者进行宫腔镜检查的结果,比较不同不孕症的差异。结果1.不孕症中输卵管阻塞为167例(33.27%),另外子宫内膜炎(24.90%)、子宫内膜息肉(10.76%)、子宫腔粘连(5.18%)、宫颈管肿物(3.98%)和先天性子宫发育异常(3.19%)也是常见原因。2.原发性不孕症中子宫内膜息肉、宫颈管肿物比例明显高于继发性不孕组,子宫内膜炎和输卵管阻塞方面继发性不孕组高于原发性不孕组。3.普通不孕组在子宫腔粘连方面明显低于试管婴儿组,在鞍状子宫等子宫先天性发育异常方面明显高于试管婴儿组。4.进行试管婴儿失败患者中原发性不孕与继发性不孕在宫腔异常分别为43.94%和36.84%,两者在子宫内膜息肉、子宫粘膜下肌瘤、宫腔粘连、宫颈管肿物、子宫内膜炎、先天性子宫发育异常等方面无显著性差异。结论宫腔镜具有创伤小,恢复快,病人无需住院的优点,在女性不孕症临床中有重要作用。
Objective： To study the clinical useness of hysteroscope in women with infertility. Methods. Retrospectively analysis the first hysteroscopy of 180 cases of primary infertility and 322 cases of secondary infertility. Results： 1. The obstruction of fallopian tube is the main reason of infertility （ 167/502, 33.27% ）. The endometritis （ 125/502, 24. 90% ）, endometrial polpy （ 54/502, 10. 76% ）, adhesion of uterus （26/502, 5.18% ）, the tumor in cervical ostium （20/502, 3.98% ） and the congenital abnormality of uterus （ 16/502, 3. 19% ） are common reasons of infertility. 2. The occurrence of endometrial polpy and the tumor in cervical ostium in primary infertility are higher than the secondary infertility. However the occurrence of endometritis and adhesion of uterus are higher in secondary infertility than the primary infertility. 3. The common infertility women is lower in adhesion of uterus than those women failed in vitro fertility - embryo transfer. 4 The occurrence of abnormality of uterus in primary infertility and secondary infertility who failed in IVF - ET are 43.9% and 36. 84% respectively. Conclusion ： Hysteroscopy is microinvasive examination, has perfound useness in infertility clinical.
出处
《中国优生与遗传杂志》
2007年第5期107-108,125,共3页
Chinese Journal of Birth Health & Heredity
