宫腔镜在女性不孕症诊治中的临床应用

Clinical application of hysteroscope in diagnosis and treatment of female infertility

目的探讨宫腔镜在不孕症诊治中的临床应用价值。方法回顾性分析2008年1月至2013年9月147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 147例不孕症患者中宫腔病变75例(51.02%),其中子宫内膜息肉39例(26.53%),宫腔粘连21例(14.29%),子宫内膜炎9例(6.12%),子宫黏膜下肌瘤6例(4.08%);子宫畸形19例(12.92%),其中子宫完全中隔2例(1.36%),不完全中隔6例(4.08%),T型子宫3例(2.04%),弓形子宫5例(3.40%),残角子宫3例(2.04%),正常宫腔53例(36.05%)。147例中输卵管不通畅47例(31.97%),宫腔镜术后1年内自然妊娠55例(37.41%)。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常见原因。对不孕症患者行宫腔镜检查是必要的,并可对发现的宫腔病变及时手术治疗,效果良好。

Objective To study the application value of hysteroscope in diagnosis and treatment of infertility.Methods The clinical data of 147 infertility patients diagnosed and treated by hysteroscopy and underwent hydrotubation through oviduct cannula since Jan.2008 to Sep.2013 were retrospectively analyzed.Results The rate of pathologic change of uterine cavity was 51.02%,39 cases of endometrial polyp（26.53%）,21 cases of intrauterine adhesion（14.29%）,9cases of endometritis（6.12%）and 6cases submucous myoma（4.08%）were included.Moreover,19 cases uterine malformation were founded（12.92%）,such as 2cases complete uterus septum（1.36%）,6cases incomplete uterus septum（4.08%）,3cases T type of uterus（2.04%）,5cases arcuate uterus（3.40%）and 3cases rudimentary horn of uterus（2.04%）,53 cases were normal（36.05%）.Of the 147 cases,47cases were tubal obstruction,which accounted for 31.97%.There were 55patients（37.41%）got natural pregnancy after one year treated by hysteroscope.Conclusion The rate of pathologic change of uterine cavity takes a larger proportion.The uterine tube factor is the common factor that leads to infertility.Hysteroscope plays an important role in diagnosis and treatment of infertility and it is necessary,which can promptly operation with satisfied effect.