434例不孕症宫腔镜检查结果分析

The analysis of hysteroscopy test results of 434 infertility cases

目的对434例不孕症宫腔镜检查结果进行分析。方法选取2010年3月～2011年3月在本院门诊或住院治疗的不孕患者434例,其中原发不孕178例,继发不孕256例,选择患者在月经干净之后的3～7d内到医院进行宫腔镜和腹腔镜检查。结果 178例原发不孕患者检查结果正常106例,子宫畸形6例,宫内膜息肉24例,宫腔粘连8例,宫内膜炎等其他病变34例。继发不孕256例,检查结果正常164例,畸形8例,息肉21例,粘连38例,内膜炎等异常25例。原发不孕患者中,68例行宫腹联合,输卵管插管通液检测发现双侧输卵管阻塞12例,单侧阻塞10例。继发不孕患者中,102例行宫腹联合检查,输卵管插管通液发现双侧阻塞41例,单侧阻塞11例。结论宫腔镜检查具有简便、创伤小、恢复快、不需住院等优点,可全面判断不孕症宫腔内病变,在不孕症的宫腔病因诊断中具有重要的临床应用价值。

Objective To analyze hysteroscopy results of 434 cases with infertility.Methods From March 2010 to March 2011,434 outpatient or inpatient patients with infertility were selected, 178 cases of primary infertility, secondary infertility 256 cases. Hysteroscopy and laparoscopy were examined after a clean period within 3~7 d.Results Of 178 cases of primary infertility patients,the examination was normal in 106 cases, 6 cases of uterine malformations, 24 cases of endometrial polyps,8 cases of intrauterine adhesions, endometritis and other diseases 34 cases. Secondary infertility 256 cases, 164 cases of normal findings, abnormal in 8 cases, polyps in 21 cases, adhesions in 38 cases, 25 cases of endometrial abnormalities go far. Primary infertility patients, 68 abdominal routine palace joint,tubal cannulation through the fluid detected bilateral tubal occlusion in 12 cases, unilateral obstruction in 10 cases. Secondary infertility patients, 102 Palace abdominal routine joint examination showed bilateral tubal occlusion catheter through the fluid in 41 cases, unilateral obstruction in 11 cases.Conclusion Hysteroscopy examination is simple, less trauma, quicker recovery, no hospitalization,etc,it can fully judge the intrauterine lesions of sterility,it has important clinical value in the causes diagnosis of infertility.