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419例不孕症宫腔镜检查结果临床分析 被引量:5

Clinical analysis on the results of hysteroscopy in 419 cases with infertility
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摘要 目的:探讨宫腔镜检查在不孕症宫内病变诊断中的应用价值。方法:回顾性分析419例不孕症患者宫腔镜检查结果。结果:419例不孕症患者的宫腔镜检查结果中,宫腔形态正常236例,宫内病变183例,183例宫内病变包括子宫内膜息肉71例,宫腔粘连67例,子宫畸形28例,黏膜下肌瘤13例,子宫内膜不典型增生3例,内膜癌1例。结论:宫腔镜检查诊断不孕症宫内病变直观、准确、有效,对疑有子宫腔内病变的不孕症患者,在经一般临床检查后,可直接行宫腔镜检查。 Objective:To explore the application value of hysteroscopy in the diagnosis of intrauterine lesions in cases with infertility. Methods:The results of hysteroscopy in 419 cases with infertility were analyzed retrospectively. Results:Among 419 cases,236 cases were found with uterine cavity of normal morphology;183 cases were found with intrauterine lesions,including 71 cases with endometrial polyp,67 cases with intrauterine adhesion,28 cases with uterine deformity,13 cases with submucous myoma,3 cases with atypical hyperplasia of endometrium and 1 case with endometrial cancer. Conclusion:Hysteroscopy is visual,accurate and effective in diagnosis of intrauterine lesions of cases with infertility;for the cases suspected of intrauterine lesions,hysteroscopy may be carried out immediately after regular clinical examination.
作者 王文丽
出处 《中国妇幼保健》 CAS 北大核心 2011年第21期3246-3247,共2页 Maternal and Child Health Care of China
关键词 宫腔镜 不孕症 宫内病变 Hysteroscope Infertility Intrauterine lesion
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  • 1Garuti G, Sambnmi I, Colonnelli M, et al. Accuracy of hysteroscopy in predicting histopatholngy of endometrium in 1500 women[J]. Am Assoc Gynecol Laparosc,2001,8(2) :207 - 213.
  • 2Alborzi S, Dehbashi S, Khodaec R. Sonohysterosalpingngraphic screening for infertile patients[J]. International Journal of Gyaecology & Obstetrics, 2003,82( 1 ) :57 - 62.
  • 3Roma Dalfo A, Ulna B, Ulna A, et al. Diagnostic value of hysterosalpingography in the detection of intranterineabnormalities: a comparison with hystenascopy[ J]. American Journal of Roentgenology, 2004,183(5) : 1405- 1409.
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  • 5Feghali J, Bakar J, Mayenga J M, et al. Systematic hysteroscopy prior to invitro fertilization[J], Gynecol Obstet Fertil,2003,31 (2) : 127 - 131.

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