673例不孕症宫腔镜检查结果分析

Clinical Aanalyses of Hysteroscopy in Diagnosing 673 Cases of Infertility

目的:探讨不孕症宫腔因素的发生及具体病变情况,以利不孕症患者得到及时正确的治疗。方法:对673例不孕症患者(原发不孕329例、继发不孕344例)行宫腔镜检查,发现内膜病变者行组织病理学检查,两组数据构成比采用x2检验进行统计学处理。结果:673例中249例(37.00%)发现宫腔病变,其中原发不孕149例(45.29%),继发不孕100例(29.07%)。原发不孕组发生的宫腔病变前3位依次为宫内膜病变97例(63.40%),子宫发育异常28例(18.30%),输卵管开口闭锁14例(9.15%);继发不孕组发生的宫腔病变前3位依次为宫内膜病变41例(39.05%),宫腔粘连28例(26.67%),输卵管开口闭锁18例(17.14%)。结论:不孕症患者中宫腔病变发生率高,是导致不孕的重要因素之一。宫腔镜检查是诊断宫腔病变的可靠方法,值得在不孕症检查中应用。

Objective： To investigate the factors and pathological changes of uterine cavity of infertility to obtain prompt and correct treatment in infertility patients. Methods： Hysteroscopy were carried out in 673 cases of infertility （329 cases of primary infertility, 344 eases of secondary infertility）. Pathological examination was performed in endometrial diseases. x^2 test was used to analyze the constituent ratio of the data in two groups. Results： In 673 cases of infertility, pathological changes of uterine cavity occurred in 249 cases（37.00% ） including 149 cases（45.29% ） of primary infertility and 100 cases （29.07%） of secondary infertility. The first three arrangement in primary infertility group was listed as pathological changes of endometrium in uterine cavity （97 cases, 63.40% ） , the congenital uterine anomalies （28 cases, 18.30% ） and atresia of uterine tube（ 14 cases, 9.15% ）. The first three arrangement in secondary infertility group were listed as pathological changes of endometrium in uterine cavity （41 cases, 39.05 % ）, the uterine adhesion （ 28 cases, 26.67 % ） and atresia of uterine tube （18 cases, 17.14% ）. Conclusion： The rate of pathological changes of uterine cavity is high in infertility patient which is one of important infertile factors. Hysteroscopy is a reliable method to diagnose the uterine cavity disease which is worth being applied in examination of infertility.