摘要
目的探讨宫腔镜治疗宫腔因素所致不孕不育患者生殖预后的效果。方法选取2016年1月~2017年1月我院收治的46例因宫腔因素所致的不孕不育患者作为研究对象,给予宫腔镜辅助手术治疗,记录采取宫腔镜检查与治疗前后患者的宫腔因素占比,并评价术后患者的生殖预后状况。结果患者治疗后的子宫内膜息肉、息肉样增生、宫腔粘连比例明显低于治疗前,差异有统计学意义(P<0.05)。46例患者中,妊娠率为73.9%,流产率为20.0%,早产或未妊娠率为6.5%。结论采用宫腔镜辅助手术治疗宫腔因素所致的不孕不育患者,能大幅度改善患者的妊娠结局与患者的生殖预后,值得在临床进一步推广研究。
Objective To investigate the effect of reproductive prognosis in infertility caused by intrauterine factors. Methods 46 cases of infertility caused by intrauterine factors treated in our hospital from January 2016 to January 2017 were selected as the subjects.The operation for the above patients was performed under the assistance of hys- teroscopy.The proportion of intrauterine factors in patients with hysteroscopy before and after treatment was recorded, and the prognosis of the patients was evaluated.Results The proportion of endometrial polyps,polypoid hyperplasia and intrauterine adhesions in patients after treatment was significantly lower than that before treatment,the difference was statistically significant （P〈0.05）.In 46 cases of patients,the pregnancy rate was 73.9%,the abortion rate was 20.0%,the preterm birth rate or the pregnancy rate was 6.5%.Conclusion Hysteroscopy assisted surgery for infertility caused by intrauterine factors,can significantly improve the patient＇s pregnancy outcome,enhance the patient＇s reproductive prog- nosis,which is worthy of further promotion in clinical research.
出处
《中国当代医药》
2018年第5期59-61,共3页
China Modern Medicine
关键词
宫腔镜
宫腔因素
不孕不育
生殖预后
妊娠
Hysteroscopy
Intrauterine factors
Infertility
Reproductive prognosis
Pregnancy
