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目的探讨宫腔镜检查在复发流产患者病因查询中的意义,以明确流产病因并作以相应治疗,提高再次妊娠成功率。方法观察本院妇科自2008年1月至2011年12月对623例复发流产史患者行宫腔镜检查的统计。结果检查623例,其中异常宫腔者403例,占64.69%。其中宫腔粘连者138例,子宫纵膈者及单角子宫等子宫先天发育畸形165例,黏膜下肌瘤者65例,子宫内膜息肉(大于2cm以上)者35例。结论宫腔镜独有的视野可以对复发流产尤其宫腔有病变患者做出准确判断,能尽早明确病因,针对病因治疗。复发流产患者进行宫腔镜检查非常有必要性。
Objective To investigate the significance of hysteroscopy in the etiological diagnosis of recurrent spontaneous abortion in order to clarify the cause of abortion and make the appropriate treatment to improve the success rate of pregnancy again. Methods The hospital gynecology from January 2008 to December 2011 623 cases of recurrent miscarriage history of hysteroscopy in patients with statistics. Results Check 623 cases, including 403 cases of abnormal uterine cavity, accounting for 64.69%. Including uterine adhesions in 138 cases, uterine mediastinum and uterine horn and other uterine congenital malformations in 165 cases, submucosal fibroids in 65 cases, endometrial polyps (more than 2cm) in 35 cases. Conclusion Hysteroscopy unique vision can diagnose recurrent miscarriage, especially in patients with intrauterine lesions to make accurate, as soon as possible a clear cause, for the cause of treatment. Hysteroscopy in patients with recurrent miscarriage is very necessary.