宫腔镜用于诊治女性不孕症的临床价值

Clinical value of hysteroscope in diagnosis and treatment of female infertility

目的:探讨宫腔镜诊治不孕症的应用价值。方法:回顾分析2009年1月至2009年10月为288例不孕症患者行宫腔镜检查、治疗,并行输卵管插管通液的临床资料。结果:288例中宫腔病变136例(47.22%),病变发生率前3位为子宫内膜息肉50例(17.36%),宫腔粘连36例(12.50%),子宫内膜炎16例(5.56%)。正常宫腔152例(52.78%)。288例不孕症患者中输卵管不通畅168例,占58.33%。宫腔镜术后1年自然妊娠105例(36.46%)。结论:不孕症患者宫腔病变占较大比例,输卵管因素是女性不孕的最常见原因。为不孕症患者行宫腔镜检查是必要的,并可同时完成简单的镜下手术,效果良好。

Objective：To study the application value of hysteroscope in diagnosis and treatment of infertility.Methods：The clinical data of 288 infertility patients diagnosed and treated by hysteroscopy and underwent hydrotubation through oviduct cannula since Jan.2009 to Oct.2009 were retrospectively analyzed.Results：The rate of pathologic change of uterine cavity was 47.22%（136/288）,50 cases of endometrial polyp（17.36%）,36 cases of intrauterine adhesion（12.50%） and 16 cases of endometritis（5.56%） were included.152 cases（52.78%） were normal.Of the 288 cases,168 were tubal obstruction,which accounted for 58.33%.There were 105 patients（36.46%）got natural pregnancy after one year treated by hysteroscope.Conclusions：The rate of pathologic change of uterine cavity takes a large proportion.The uterine tube factor is the most common factor that leads to infertility.Hysteroscope plays an important role in diagnosis and treatment of infertility and it is necessary,which can complete easy operations with satisfied effect.