宫腔镜诊治妇产科不孕症的临床效果分析

Analysis of Clinical Effect of Hysteroscopy in Diagnosis and Treatment of Obstetrics and Gynecology Infertility

目的:分析临床妇产科在诊治不孕症时应用宫腔镜的临床效果。方法:随机选取2018年6月~2019年8月本院妇产科治疗的不孕症患者92例为观察对象,给予宫腔镜方法诊治,以病理诊断为金标准,分析患者的诊断及治疗效果。结果:诊断结果显示,造成患者不孕的原因有宫腔粘连、子宫畸形、子宫内膜息肉、子宫黏膜下肌瘤和输卵管异常等,宫腔镜的诊断准确率为97.82%,略低于病理切片的100.00%,差异无统计学意义(P>0.05)。治疗1年后有69例患者出现妊娠情况,且有61例患者足月分娩。结论:宫腔镜对不孕症的诊断结果准确率接近病理切片诊断,诊断结果较为准确,且操作简单,对帮助患者恢复生育能力具有重要意义。

Objective:To analyze the clinical effect of hysteroscopy in the diagnosis of infertility.Methods:92 infertile patients treated in the Department of Obstetrics and Gynecology of our hospital from June 2018 to August 2019 were randomly selected as the observation objects,and were treated by hysteroscopy.Pathological diagnosis was the gold standard.The diagnosis and treatment effect of the patients were analyzed.Results:The diagnostic results showed that the causes of infertility included intrauterine adhesions,uterine malformations,endometrial polyps,submucosal myoma and fallopian tube abnormalities.The diagnostic accuracy of hysteroscopy was 97.82%,which was lower than 100.00%of pathological section,the difference was not statistically significant(P>0.05).One year after treatment,69 patients had pregnancy,and 61 patients had full-term delivery.Conclusion:The accuracy rate of hysteroscopy diagnosis of infertility is close to that of pathological section diagnosis.The operation is simple and the diagnosis result is more accurate.It is of great significance to help patients recover fertility.