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目的:探讨宫腔镜检查在辅助生育技术中的临床应用价值。方法:回顾分析2008年1月～2009年1月96例辅助生育技术失败后(研究组)及53例辅助生育技术助孕前(对照组)行宫腔镜检查的病例资料。结果:辅助生育技术失败后(研究组)宫腔镜检查发现异常的阳性检出率达66.67%(64/96),其中原发性不孕宫腔异常发生率为64.91%,继发性不孕宫腔异常发生率为69.23%,两种情况在子宫内膜炎、子宫内膜息肉、宫颈管赘生物、先天性子宫发育异常等方面差异无统计学意义,但在宫腔粘连方面差异有统计学意义。53例辅助生育技术助孕前(对照组)宫腔镜检查发现异常的阳性检出率达66.04%(35/53),原发性不孕宫腔异常发生率为68.75%,继发性不孕宫腔异常发生率为61.90%,两种情况在子宫内膜炎、子宫内膜息肉、宫颈管赘生物、宫腔粘连等方面差异无统计学意义。结论:宫腔镜检查创伤小、恢复快,具有可接受性和准确性,应作为辅助生育技术前的常规检查。
Objective: To explore the clinical value of hysteroscopy in assisted reproductive technology. Methods: The data of hysteroscopy of 96 cases of assisted reproductive technology failure (study group) and 53 cases of assisted reproductive technology before pregnancy (control group) were retrospectively analyzed from January 2008 to January 2009. Results: The detection rate of abnormal hysteroscopy (study group) was 66.67% (64/96) after failure of assisted reproductive technology. The incidence of abnormal uterine cavity in primary infertility was 64.91% The incidence of uterine anomalies was 69.23%. There were no significant differences in endometritis, endometrial polyps, cervical canal neoplasms, and congenital uterine abnormalities between the two cases, but the difference in intrauterine adhesions was Statistical significance. 53 cases of assisted reproductive technology assisted pregnancy (control group) hysteroscopy found abnormal positive detection rate was 66.04% (35/53), the incidence of primary infertility uterine cavity was 68.75%, secondary infertility The incidence of abnormal uterine cavity was 61.90%. There was no significant difference in endometritis, endometrial polyps, cervical canal neoplasm and intrauterine adhesions between the two cases. Conclusion: hysteroscopy trauma, rapid recovery, with acceptability and accuracy, should be used as a routine prenatal fertility test.