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目的分析宫腔镜对于宫腔内因素所致不孕不育的临床诊断及治疗意义。方法收集2010年1月-2012年12月河源市计划生育服务中心收治的疑为宫腔内因素导致不孕不育的患者260例,分析宫腔镜诊断结果,对比治疗前后效果。结果本组有91例(35.0%)宫腔粘连,64例(24.6%)子宫内膜息肉,10例(3.8%)黏膜下肌瘤,44例(16.9%)输卵管栓塞;23例(8.8%)宫腔形态异常;5例(1.9%)节育器嵌顿或残留、宫壁缝线及胎骨残留;23例(8.8%)正常。结论宫腔镜用于诊治宫腔内因素引起的不孕不育,诊断准确,操作简便,并可实施简单的宫腔镜下手术,疗效显著,值得推广。
Objective To analyze the significance of hysteroscopy in the diagnosis and treatment of infertility caused by intrauterine factors. Methods From January 2010 to December 2012, Heyuan City Family Planning Service Center admitted 260 cases of suspected infertility caused by intrauterine factors, analyze the results of hysteroscopy, compared with before and after treatment. Results In this study, 91 patients (35.0%) had uterine adhesions, 64 (24.6%) endometrial polyps, 10 (3.8%) submucosal fibroids, 44 (16.9%) tubal embolisms and 23 (8.8% ) Abnormal uterine morphology; 5 cases (1.9%) IUD incarcerated or residual uterine wall suture and fetal bone; 23 cases (8.8%) normal. Conclusion Hysteroscopy is used to diagnose and treat infertility caused by intrauterine factors. The diagnosis is accurate and easy to operate. Hysteroscopy can be used to perform simple hysteroscopic surgery with obvious curative effect and worthy of promotion.