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目的探讨隐匿性子宫内膜息肉合并不孕患者经宫腔镜诊断和治疗的效果。方法2004年3月至2006年5月间因不孕症在我院行宫腔镜诊治的162例患者中,发现无明显月经改变及其他相关自觉症状、直径<3mm的隐匿性子宫内膜息肉患者23例,均行宫腔镜下子宫内膜息肉切除术(TCRP),并随访其术后妊娠情况。结果162例无异常提示的不孕症患者中隐匿性子宫内膜息肉共23例,达14.2%,均顺利完成TCRP术,术中、术后无明显并发症,术后1年内总宫内妊娠率为60.9%,其中术后半年内宫内自然妊娠11例,占1年总宫内自然妊娠率91.7%。结论宫腔镜检查及TCRP是诊断和治疗隐匿性子宫内膜息肉合并不孕症较理想方法,手术安全可行,术后(尤其半年内)宫内妊娠率较高。
Objective To investigate the effect of hysteroscopic diagnosis and treatment of occult endometrial polyps with infertility. Methods From March 2004 to May 2006 in our hospital due to infertility hysteroscopy in 162 patients found no significant changes in menstruation and other related symptoms, diameter <3mm in patients with latent endometrial polyps Twenty-three patients underwent hysteroscopic endometrial polypectomy (TCRP) and were followed up for postoperative pregnancy. Results Of the 162 infertile patients without any abnormality, 23 cases were found with occult endometrial polyps, up to 14.2%. TCRP was successfully performed. No intraoperative and postoperative complications were found, intrauterine pregnancy within 1 year after operation Rate of 60.9%, of which 11 cases of intrauterine natural pregnancy within six months after surgery, accounting for 1 year total intrauterine pregnancy rate was 91.7%. Conclusion Hysteroscopy and TCRP are the ideal methods for the diagnosis and treatment of occult endometrial polyps with infertility. The surgery is safe and feasible. The intrauterine pregnancy rate is high after surgery (especially within six months).