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目的探讨宫腔镜在不孕症患者中的应用价值。方法对175例不孕症患者进行回顾性分析,采用宫腔镜对其诊断并采用镜下输液管通液术进行治疗。结果 175例患者,子宫输卵管造影显示宫腔内异常的患者有60例,未出现明显异常的患者有115例;宫腔镜检查显示宫腔内出现异常的患者有110例,未出现明显异常的患者有65例。经统计分析可知,宫腔镜对宫腔内异常的检出率与子宫输卵管造影相比升高,差异具有统计学意义(P<0.05)。上述宫腔镜检查出现异常的110例患者中,由于输卵管因素导致不孕的患者有45例,由于宫颈管息肉导致不孕的患者有29例,由于宫腔纵隔导致不孕的患者有12例,由于子宫宫腔粘连导致不孕的患者有11例,由于子宫黏膜下出现肌瘤导致不孕的患者有7例,由于其他原因导致不孕的患者有6例;上述患者术后多出现少量的阴道出血现象,均未对其进行对症治疗,5~7 d后患者的出血现象自行停止,未发现感染及子宫穿孔等并发症。结论宫腔镜检查诊断宫腔疾病具有安全、准确、直观、创伤小等优点,具有临床应用推广价值。
Objective To investigate the value of hysteroscopy in infertility patients. Methods A retrospective analysis of 175 cases of infertility patients, the use of hysteroscopy diagnosis and the use of transfusion by liquid transfusion underwent treatment. Results In the 175 patients, there were 60 cases of uterine tubal abnormalities in the uterine cavity and 115 cases of no obvious abnormalities. Hysteroscopy showed that there were 110 cases of intrauterine abnormalities without obvious abnormalities There are 65 patients. The statistical analysis shows that the detection rate of hysteroscopy on intrauterine abnormalities increased compared with that of hysterosalpingography, the difference was statistically significant (P <0.05). Of the 110 cases of abnormal hysteroscopy in patients with tubal infertility caused by 45 patients, due to cervical canal polyps cause infertility in patients with 29 cases, due to uterine mediastinal infertility caused by 12 patients , Due to uterine adhesions caused by infertility in 11 patients, due to uterine fibroids appear infertility caused by fibroids in 7 patients, due to other causes of infertility in patients with 6 cases; more patients after the emergence of a small amount Of the vaginal bleeding, no symptomatic treatment of its 5 to 7 days after the patient’s bleeding stopped, did not find complications such as infection and uterine perforation. Conclusion Hysteroscopy diagnosis of uterine cavity disease is safe, accurate, intuitive, small trauma and other advantages, with clinical application of the promotion value.