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目的探讨电视宫腔镜检查在不孕症诊断中的应用价值。方法对本院电视宫腔镜检查的62例不孕症患者的临床资料进行回顾性分析。结果总病例中原发性不孕36例,继发性不孕26例。所有病例B超检查发现宫内异常者24例(38.7%)。宫腔镜检查发现宫内异常者37例(59.7%),比B超检出率高。宫内异常包括:子宫内膜息肉10例(16.1%),子宫肌瘤7例(11.3%),宫腔粘连6例(9.7%),子宫内膜炎4例(6.5%),子宫内异物1例(1.6%),子宫内畸形(部分或完全子宫纵隔,单角子宫等)5例(8.1%),宫颈息肉4例(6.5%)。结论宫腔镜检查宫内病变比B超灵敏。宫腔镜检查能直观、准确、全面地明确宫腔内病因,是了解宫腔疾病的最有效方法之一,它在诊断不孕症中有较高的应用价值,是诊断不孕症有效、可行的方法。
Objective To investigate the value of hysteroscopy in the diagnosis of infertility. Methods The clinical data of 62 cases infertility patients treated by hysteroscopy in our hospital were analyzed retrospectively. Results The total cases of primary infertility in 36 cases, 26 cases of secondary infertility. In all cases, 24 cases (38.7%) of intrauterine abnormalities were found by ultrasonography. Hysteroscopy found intrauterine abnormalities in 37 cases (59.7%), higher than the B-detection rate. Intrauterine abnormalities included 10 cases of endometrial polyps (16.1%), 7 cases of uterine fibroids (11.3%), 6 cases of intrauterine adhesions (9.7%), 4 cases of endometritis (6.5%), 1 case (1.6%), 5 cases (8.1%) of intrauterine malformations (partial or complete uterine mediastinum, single angle uterus) and 4 cases of cervical polyps (6.5%). Conclusion Hysteroscopy intrauterine lesions than B-sensitive. Hysteroscopy can be intuitive, accurate, comprehensive and clear etiology of the uterine cavity is one of the most effective ways to understand uterine disease, which has a higher value in the diagnosis of infertility, is the diagnosis of infertility effective, Feasible method.