356例女性不孕患者宫腔镜检查结果临床分析

摘要

目的 探讨宫腔镜检查在不孕患者诊治中的应用价值.方法 回顾性分析我院2015年1月至2016年12月因不孕接受宫腔镜检查的356例患者的病例资料,比较原发不孕与继发不孕的宫腔病变情况,以及并发症发生情况.结果 356例不孕患者中宫腔异常165例,阳性率46.3％,其中原发不孕组56例(44.1％),继发不孕组109例(47.6％);原发不孕组子宫内膜息肉的发生率高于继发不孕组,宫腔粘连的发生率低于继发不孕组,差异有统计学意义(P<0.05).所有患者无1例麻醉意外、水中毒、子宫穿孔、人流综合征及感染等严重并发症.结论 不孕患者宫腔病变发生率较高,宫腔镜检查可作为明确不孕患者宫腔情况的一线检查方法.%Objective To investigate the application values of hysteroscopy in diagnosis and treatment of infertile women . Methods Clinical data of 356 infertile patients from January 2015 to December 2016 who received hysteroscopy examination were ret-rospectively analyzed .The intrauterine pathologies and complications were compared between patients with primary and secondary infer -tility.Results Of the 356 cases,165 had intrauterine lesions discovered by hysteroscopy .The positive rate was 46.3％.Of the 165 pa-tients,56 patients (44.1％) were primary infertility and 109 patients (47.6％) were secondary infertility .The incidence of endometri-al polyps was significantly higher but the incidence of intrauterine adhesion was significantly lower in primary infertile patients than those in secondary infertile patients ( P<0.05 ) .There were no severe complications such as anesthetic accident ,water intoxication ,u-terine perforation ,abortion syndrome and infection during the surgery .Conclusion There is high incidence of intrauterine lesions in in-fertile patients.Hysteroscopy could be used as a routine examination to identify uterine cavity lesions .