宫腔镜诊治不孕症相关疾病的优势及研究现状

摘要

官腔镜是诊断官腔内病变的金标准,其敏感性及特异性远高于其他检测手段.通过官腔镜下子宫内膜息肉电切、子宫纵隔切除、官腔粘连分解、子宫黏膜下肌瘤切除等手术方式,可改善官腔环境,提高妊娠率,且具有直观、微创、有效、恢复快等优点.目前官腔镜检查及手术已广泛应用于不孕不育及辅助生殖技术中,其并发症少,常见的有官腔粘连、子宫穿孔、水中毒等,但这些并发症均可能导致较严重的后果,在肯定官腔镜诊治不孕症的同时,也需要关注手术风险,严格评估官腔镜检查及手术的适应证,合理使用官腔镜,减少并发症的发生.%Hysteroscopy is the gold standard in the diagnosis of uterine cavity lesions,since its sensitivity,specificity are much higher than other means.By the methods of TCRP,TCRA,TCRM,TCRS,the cervical condition can be improved and the clinical pregnancy rate would be increased.Hysteroscopy is featured with intuitionistic,minimally invasive,effective,rapidrecovery,etc.Laparoscopic examination and surgery have been widely used in infertility and assisted reproduction techniques,with fewer complications,such as uterine adhesion,uterine perforation,water intoxication,etc.,which may resultin serious consequences.We need to be aware of the risks of hysteroscopic surgery while we acknowledge its value in the diagnosis and treatment of infertility;the indications of hysteroscopic examination and surgical procedure should be evaluated strictly,and the hysteroscopy should be applied appropriately,to reduce the occurrence of complications.