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目的探讨宫腔镜在不孕症诊断及治疗中的作用。方法 100例不孕症患者,均行宫腔镜检查及治疗,观察术后12个月内的妊娠情况。结果不孕症患者的宫腔内病变发生率为62.00%,宫腔镜检查不孕症患者合并子宫内膜息肉26例、宫腔粘连20例、黏膜下子宫肌瘤8例、宫颈管息肉4例、异物残留2例、纵隔子宫2例,宫腔镜手术后12个月内的妊娠率分别为61.54%、50.00%、62.50%、75.00%、100.00%、50.00%,总妊娠率为59.68%。结论在进行宫腔镜诊断和治疗时,要注重宫腔内病变情况,以便使不孕症患者获得妊娠机会。
Objective To explore the role of hysteroscopy in the diagnosis and treatment of infertility. Methods 100 cases of infertility patients were underwent hysteroscopy and treatment, observation of pregnancy within 12 months after operation. Results The incidence of intrauterine lesions in infertile patients was 62.00%, hysteroscopy in infertility patients with endometrial polyp in 26 cases, intrauterine adhesions in 20 cases, submucosal uterine fibroids in 8 cases, cervical polyps 4 The pregnancy rates were 61.54%, 50.00%, 62.50%, 75.00%, 100.00% and 50.00% respectively in 2 cases of foreign body residue, 2 cases of mediastinal uterus and 12 months after hysteroscopy. The total pregnancy rate was 59.68% . Conclusions During the diagnosis and treatment of hysteroscopy, we should pay attention to the intrauterine lesions in order to make pregnant women with infertility opportunities.