324例不孕患者宫腔镜检查结果分析

Analysis of the Hysteroscopy in 324 Patients with Infertility

目的 探讨宫腔镜在女性不孕患者中的临床应用。方法 对原发不孕 63例、继发不孕 2 0 8例、有附件手术史 5 3例患者进行宫腔镜检查 ,比较三组患者不孕原因差异。结果 三组资料显女方不孕因素中输卵管因素分别占 5 5 .5 6%、65 .87%、64 .15 % ;原发不孕中子宫畸形占 7.93 %第二位 ,继发不孕中宫腔粘连占 2 .89%居第二位。结论 结论 :女方不孕因素以输卵管因素为主 ,而子宫畸形在原发不孕症患者中占较高比例 ,宫腔粘连在继发不孕症患者中占相当高的比例 ,宫腔镜检查具有创伤小 ,恢复快 ,病人无需住院的优点。

Objective To investigate the clinical effect of hysteroscopy on diagnosis of barrenness in female patients. Methods In order to find the cause s of primary infertility, secondary infertility and infertility after operation on uterine adnexa, 324 patients (63 patients with primary infertility, 208 patie nts with secondary infertility and 53 patients with history of operation on uter ine adnexa) were examined by hysteroscopy. Results The first cause of infertil ity in female patients was salpingian disease. The percentages were 55.56% (prim ary infertility), 65.87% (secondary infertility) and 64.15% (infertility after o peration on uterine adnexa). The secondary cause of primary infertility was uter us deformity (7.93%), the secondary cause of secondary infertility was metrosyni zesis (2.89%). Conclusions The main cause of infertility in female patients wa s salpingian disease, the secondary cause of primary infertility and secondary i nfertility were uterus deformity and metrosynizesis. Hysteroscopy has the advant age of mini incision. The patients recover quickly and need not be in hospital.