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目的探讨宫腔镜技术在诊断与治疗不孕症中的应用价值。方法对诊断为不孕症的662例患者进行宫腔镜检查与治疗。结果 662例不孕症患者经宫腔镜检查,存在异常病变419例(63.3%),其中子宫病变135例(32.2%),输卵管病变261例(62.3%),子宫及输卵管均存在病变23例(5.5%)。子宫病变者包括单角子宫1例,子宫纵隔4例,宫腔粘连13例,子宫内膜炎23例,黏膜下肌瘤22例,子宫内膜息肉95例。输卵管不通者中双侧不通167例,单侧不通117例。结论宫腔镜可检查与治疗并举,是诊治不孕症的必要手段。
Objective To explore the value of hysteroscopy in the diagnosis and treatment of infertility. Methods 662 cases of infertility diagnosed as hysteroscopy and treatment. Results There were 419 cases (63.3%) of abnormal lesions in 662 cases of infertility, including 135 cases (32.2%) of uterine lesions, 261 cases (62.3%) of tubal lesions, 23 cases of uterus and fallopian tube lesions (5.5%). Uterine lesions, including a single angle uterus in 1 case, uterine mediastinal in 4 cases, uterine adhesions in 13 cases, 23 cases of endometritis, submucosal fibroids in 22 cases, 95 cases of endometrial polyps. Tubal failure in both sides unreasonable in 167 cases, unilateral 117 cases. Conclusion Hysteroscopy can be checked and treated simultaneously, diagnosis and treatment of infertility is an essential means.