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目的:回顾性分析宫腔镜检查资料,探讨宫腔内疾病发生情况。方法:选择2003年1月～2007年10月间中国人民解放军第二一一医院优生优育中心2 679例患者,年龄20～73岁,因异常子宫出血、不孕症、宫内异常超声图像等行宫腔镜检查,对其资料进行回顾性分析。结果:宫腔未见异常504例,包括宫腔镜术后复查患者41例,各种宫腔内疾病共2 175例,阳性检出率是81.2%。其中,宫腔镜下怀疑子宫内膜癌者27例,术后病理确诊为子宫内膜癌者24例。不孕症共572例,占宫腔镜检查的21.35%。其中宫腔内疾患为344例,发生率为60.1%,术后2 679例均无严重并发症。结论:通过分析2 679例宫腔镜检查结果,可以大体了解宫腔内疾病发病情况,进而指导临床诊断。
Objective: To retrospectively analyze the data of hysteroscopy and investigate the intrauterine diseases. Methods: A total of 2 679 patients aged 20-73 years from January 2003 to October 2007 at the Center for Prenatal and Reproductive Health of the 211 Hospital of Chinese People’s Liberation Army were enrolled in this study. The abnormalities of uterine bleeding, infertility and intrauterine abnormalities Hysteroscopy, the data were retrospectively analyzed. Results: No abnormal uterine cavity 504 cases, including hysteroscopy in 41 cases, a variety of intrauterine diseases 2 175 cases, the positive detection rate was 81.2%. Among them, hysteroscopic suspected endometrial cancer in 27 cases, postoperative pathological diagnosis of endometrial cancer in 24 cases. 572 cases of infertility, accounting for 21.35% of hysteroscopy. Among them, there were 344 cases of intrauterine diseases, the incidence was 60.1%. There were no serious complications in 2679 cases after operation. Conclusion: By analyzing 2 679 cases of hysteroscopy, we can get a general understanding of the status of uterine cavity disease and guide the clinical diagnosis.