宫腔镜诊治不孕症86例临床分析

Hysteroscopic Diagnosis and Treatment of Clinical Analysis of 86 Cases of Infertility

目的评价宫腔镜诊治不孕症的临床价值。方法分析我院2007年1月至2008年6月收治不孕症患者86例临床资料,行宫腔镜检查及插管通液,并在镜下进行治疗。结果宫腔正常51例,宫腔异常37例。输卵管因素不孕49例,子宫因素37例,其中子宫黏膜下肌瘤11例,子宫内膜异位症17例,宫腔粘连9例。手术后54例随访者,25例受孕,妊娠率46.30%。结论宫腔镜具有不开腹、创伤小、可定性、恢复快等优点,能直观、准确地明确不孕症病因并予以针对性治疗,对不孕症有较高检出率,可有效提高不孕患者妊娠率,是治疗女性不孕症的有效诊治方法。

Objective： To evaluate the clinical value of hysteroscopic treatment. Method： We analyzed 86 cases of clinical data of infertility dated from January 2007 to June 2008 in our hospital through hysteroscopy and hydrotubation intubation and treated those patients by hys- teroscopy. Results： There were 51 cases in which the patients＇ uterine were normal while 37 cases in which the patients＇ uterine were abnormal. There were 49 cases in which the patients could not get pregnant because of the wrong in tubal, and the other 37 cases because of the uterine. Among them 11 cases were myoma, 17 cases with endometriosis, and 9 cases with adhesions of uterine. After the operation, the patients in 25 cases got pregnant, the percentage reached as high as 46.30%. Conclusion： Hysteroscopy has some advantages such as needing no operation, getting a quick recovery and stable result. Besides that doctors can analyse the illness directly and clearly and give the treatment in accordance with it. Through this method, we can examine the infertility quickly and raise the percentage of pregnancy. It＇s the most effective method to treat the women who can＇t get pregnant easily.