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目的探讨宫腔镜在不孕症女性子宫腔内病变中的诊治价值。方法回顾性分析广东省佛山市顺德区桂洲医院600例不孕症患者B超检查、官腔镜检查及相应的镜下手术治疗情况。结果原发不孕286例(47.67%),继发不孕314例(52.33%)。600例不孕症患者B超检查子宫腔内病变患者297例(49.50%),其中前三位依次为内膜息肉81例(13.50%),宫腔粘连60例(10.00%),子宫肌瘤49例(8.17%);官腔镜检查子宫腔内病变患者420例(70.00%),其中前三位依次为输卵管1:2病变139例(23.17%),内膜息肉117例(19.50%),宫腔粘连63例(10.50%)。两者阳性率比较差异有统计学意义(P<0.05)。宫腔镜检查并辅以手术治疗后妊娠311例(51.83%)。结论女性不孕症的子宫腔内病变发病率较高,对疑有宫内病变的不孕症患者,及早行宫腔镜检查以明确诊断,可缩短诊疗时间,提高妊娠率。
Objective To investigate the value of hysteroscopy in diagnosis and treatment of uterine cavity lesions in infertile women. Methods A retrospective analysis of 600 cases of infertility patients in Guizhou Hospital of Shunde District of Foshan City in Guangdong Province by B-mode ultrasound, routine endoscopy and corresponding microsurgery was performed. Results Primary infertility 286 cases (47.67%), 314 cases of secondary infertility (52.33%). There were 297 cases (49.50%) of the 600 cases of infertility who underwent B-mode ultrasound examination, among which the top three were endometrial polyps 81 cases (13.50%), uterine fibroids 60 cases (10.00%), 49 cases (8.17%), 420 cases (70.00%) of endometrial lesions were detected by endoscopy, of which the top three were 139 cases (23.17%) of tubal 1: 2 lesions and 117 cases (19.50%) of endometrial polyps, Intrauterine adhesions in 63 cases (10.50%). The positive rate of the two was statistically significant (P <0.05). Hysteroscopy combined with surgical treatment of 311 cases of pregnancy (51.83%). Conclusion Female infertility has a higher incidence of intrauterine lesions. For infertility patients suspected of having intrauterine lesions, hysteroscopy can be diagnosed as early as possible to shorten the diagnosis and treatment time and improve the pregnancy rate.