宫腔镜对子宫腔内不孕病因的诊治价值——100例临床分析

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为评价宫腔镜对因子宫腔内病变所致女性不孕的诊断及治疗价值,采用宫腔镜对100例宫腔内病变所致的不孕症行宫腔镜检查及治疗.结果发现,子宫内粘连60例,占60.00%;子宫内膜息肉19例,占19.00%;输卵管起始部阻塞14例,占14.OO%;其他7例,占7.00%.与子宫输卵管造影及B超比较,宫腔镜与病检符合率最高,达97.00%,显著优于前两者;除3例宫腔粘连者经两次分离术外,其余均一次成功,术后一年内患者受孕率为53.00%,可见宫腔镜诊断宫腔内病变更直观、可靠,并可同时完成镜下手术,效果良好. To evaluate the diagnosis and treatment value of hysteroscopy for female infertility due to intrauterine lesions, hysteroscopy was used to treat and treat 100 cases of infertility caused by intrauterine lesions.It was found that the uterus Internal adhesions in 60 cases, accounting for 60.00%; 19 cases of endometrial polyps, accounting for 19.00%; 14 cases of obstruction of the initial fallopian tube, accounting for 14.OO%; other 7 cases, accounting for 7.00% .With uterine tubal angiography and B- , The coincidence rate of hysteroscopy and pathological examination was the highest, reaching 97.00%, which was significantly better than the former two; except for three cases of intrauterine adhesions, the other two were successful, the conception rate was 53.00 within one year after operation %, Shows that hysteroscopy diagnosis of intrauterine lesions more intuitive and reliable, and can be completed under the microscope surgery, the effect is good.
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