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目的探讨宫腔镜诊治继发性不孕症的临床价值。方法 在不孕症患者613例中,宫腔镜检查诊断为输卵管梗阻和宫腔粘连患者216例,进行镜下分离和输卵管疏通通液,术后放置宫内节育器,使用抗生素治疗及人工周期治疗3个月。结果 216例继发性不孕症患者,在宫腔镜诊治的1～4个疗程中,143例妊娠,治疗成功率为66.2%,所有手术经过顺利,无1例并发症发生。结论对宫腔粘连和输卵管梗阻引起的继发性不孕症应用宫腔镜诊治,可提高治疗的成功率,且具有不开腹、无切口、创伤小、恢复快等优点。
Objective To investigate the clinical value of hysteroscopy in diagnosis and treatment of secondary infertility. Methods In 613 cases of infertility, hysteroscopy diagnosed 216 cases of tubal obstruction and intrauterine adhesions, microscopic separation and tubal clear liquid, postoperative intrauterine device, the use of antibiotics and artificial cycle Treatment for 3 months. Results 216 cases of secondary infertility patients, hysteroscopy in the treatment of 1-4 courses, 143 cases of pregnancy, the success rate was 66.2%, all the surgeries passed without complications. Conclusion Hysteroscopy diagnosis and treatment of secondary infertility caused by intrauterine adhesions and tubal obstruction can improve the success rate of treatment, and has the advantages of no laparotomy, no incision, less trauma and faster recovery.