论文部分内容阅读
目的探讨宫腔镜检查在不良孕产史患者中的诊断作用。方法采集2013年9月至2015年6月就诊首都医科大学附属复兴医院宫腔镜中心的454例不良孕产史患者行宫腔镜检查术,对其结果进行分析。结果454例不良孕产史患者中,宫腔粘连213例(46.92%),子宫畸形86例(18.98%),宫颈机能不全27例(5.59%),子宫黏膜下肌瘤18例(3.96%),子宫内膜息肉15例(3.30%),胚物残留5例(1.10%),子宫内膜增生3例(0.66%),子宫内膜结核2例(0.44%),子宫内膜炎2例(0.44%);自然流产次数与宫腔粘连发生率呈正相关(P<0.05),与严重程度无明显相关性(P>0.05)。结论宫腔镜检查操作简单、安全高效、并发症少,在不良孕产史患者的诊断中具有重要意义。
Objective To investigate the diagnostic value of hysteroscopy in patients with poor pregnancy history. Methods A total of 454 cases of adverse pregnancy history from September 2013 to June 2015 in Hysteroscopy Center of Fuxing Hospital Affiliated to Capital Medical University were collected for hysteroscopy. The results were analyzed. Results Among the 454 cases of poor pregnancy history, there were 213 cases (46.92%) of intrauterine adhesions, 86 cases (18.98%) of uterine malformations, 27 cases of cervical incompetence (5.59%), 18 cases of uterine submucosal fibroids , 15 cases of endometrial polyps (3.30%), 5 cases of embryo residue (1.10%), 3 cases of endometrial hyperplasia (0.66%), 2 cases of endometrial tuberculosis (0.44%), 2 cases of endometritis (0.44%). There was a positive correlation between the number of spontaneous abortion and the incidence of intrauterine adhesions (P <0.05), but no significant correlation with the severity (P> 0.05). Conclusion Hysteroscopy is simple, safe and efficient, with fewer complications. It is of great significance in the diagnosis of patients with poor pregnancy history.