宫腔镜在不孕症中的应用

APPLICATION OF HYSTEROSCOPE IN STERILITY

采用宫腔镜对７１ 例女性不孕症进行检查及治疗，检查结果：宫腔病变阳性率５７ ．７ ％ ，输卵管病变阳性率５６ ．３ ％ ，比传统的Ｂ 超、输卵管通液试验阳性率明显提高。宫腔镜下插管通液治疗输卵管阻塞有效率８２ ．１％ ，与传统通液治疗比较，Ｐ＜ ０．０１，有显著性差异。显示在探究子宫性不孕病因方面，宫腔镜更具直观准确、并可镜下对因治疗、缩短治疗周期等优点。

The method of hysteroscope was applied to diagnose and treat 71 cases of sterility.The results indicated a positive rate of 57.7% for the disease of uterine and 56.3% for the disease of oviduct respectively,which was significantly higher than that by using traditional ultrasonic diagnosis and tubal patent test by liquid instillation respectively ( P <0.05).The effective rate of hysteroscopic treatment was 82.1% in tubal occlusion,which was significantly better than that by traditional liquid instillation ( P <0.01). So a better perceptibility,higher precision, immediate etiologic treatment and shorted therapeutic period could be obtained by the application of hysteroscope in uterin acyesis.It suggests that hysteroscope can be used as a routine method to diagnose and treat sterility.