416例不孕症患者宫腔镜检查临床分析

摘要

Objective To investigate the necessity of hysteroscopy for infertile women, especially underwent failure of in vitro fertilization and embryo transfer(IVF-ET). Method 416 infertile women who had the hysteroscopy were analyzed, and investigated the uterine case of the infertile patients. Result Of the 416 patients, 211 patients had uterine diseases (50.7%). In primary infertility group, the incidence rate of uterine submucous myoma, intrauterine adhesion were 1. 3% and 6. 5% , respectively, and in secondary infertility groups were 2. Z% and 27. 5%. 64 patients underwent failture of in vitro fertilization-embryo transfer. 23 ones had normal uterine (36. 0%), the rest all had uterine diseases (64. 0%). There was the statistical significance comparing with the incidence rate of uterine diseases of all the 416 pa-tients(P<0. 01) . Conclusion There is a high incidence of uterine diseases on infertile women especially the secondary infertile ones, and which even higher on women underwent once or more failure of in vitro fertilization and embryo transfer.%目的 探讨不孕症患者,尤其有体外受精-胚胎移植(in vitro fertilization and embryo transfer,IVF-ET)失败病史的患者常规宫腔镜检查的必要性.方法 应用宫腔镜对416例不孕症患者(其中原发不孕154例,继发不孕262例)进行常规检查,观察不孕症患者的宫腔情况.结果 416例患者中,发现存在宫腔病变211例(占50.7％).原发性不孕组的子宫粘膜下肌瘤和宫腔粘连的发生率分别为1.3％和6.5％,继发性不孕组的发生率分别为2.3％和27.5％,两组相比,差异有显著意义(P＜0.01).有IVF-ET失败病史的不孕症患者64例,有宫腔病变41例(占64.0％),与总病例的宫腔病变率相比,差异有显著意义(P＜0.01).结论 在不孕症患者中,继发性不孕患者和有IVF-ET失败病史患者的宫腔病变发生率较高.因此,对于不孕症患者,尤其是继发性不孕和有IVF-ET失败病史的患者常规行宫腔镜检查是有价值的.