Objective To investigate the application of hysteroscopy in pathological changes of infertility uterus.
Methods The clinical data of 226 cases of infertility females receiving hysteroscopy from January 2007 to June 2009 in Sichuan Provincial Hospital for Women and Children were retrospectively analyzed.
Results In 226 cases, hysteroscopic examination identified 147 cases of intrauterine diseases (65.04%), including 56 cases of intrauterine adhesion (24.78%), 32 cases of endometritis (14.16%), 27 cases of endometrial polyps (11.94%), 15 cases of uterine malformation (6.64%), 9 cases of submucous myoma (3.98%), 3 cases of endometrial tuberculosis (1.33%), 3 cases of uterus cavity narrow (1.33%), 2 cases of cervical internal relaxation (0.88%). No postoperative complications occurred, except for a small amount of vaginal bleeding.
Conclusion For the diagnosis of the pathological changes in uterus, hysteroscopy is a direct and accurate method with less operative duration, less trauma, less pain, quick recovery, no complications, and no necessity for hospitalization. It is worth to be popularized.
Citation:
LI Shengmei. Discussion on Application Value of Hysteroscopy in Infertility. Chinese Journal of Evidence-Based Medicine, 2010, 10(12): 1467-1468. doi: 10.7507/1672-2531.20100614
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Copyright © the editorial department of Chinese Journal of Evidence-Based Medicine of West China Medical Publisher. All rights reserved
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曹泽毅, 主编. 中华妇产科学. 第1版. 北京: 人民卫生出版社, 1999: 2169-2313.
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张军, 夏恩兰, 于丹, 等. 官腔镜检查在不育妇女中的应用. 北京医学, 2003, 25(4): 251.
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Brusco GF, Arena S, Angelini A. The role of diagnostic hysteroscopy in infertile women. Minerva Ginecol, 2001, 53(5): 313-319.
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夏恩兰, 主编. 妇科内镜学. 第1版. 北京: 人民卫生出版社, 2001: 100-107.
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夏恩兰. 宫腔镜技术的近年进展. 中国实用妇产科杂志, 2000, 16(3): 182.
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Cepni I, Ocal P, Erkan S, et al. Comparison of transvaginal sonography, saline infusion sonography and hysteroscopy in the evaluation of uterine cavity pathologies. Aust N Z J Obstet Gynaecol, 2005, 45(1): 30-35.
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Golan A, Ron-El R, Herman A, et al. Diagnostic hysteroscopy: its value in an in-vitro fertilization/embryo transfer unit. Hum Reprod, 1992, 7(10): 1433-1434.
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张秀珍, 李红. 不孕症宫腔镜检查243例分析. 中国误诊学杂志, 2003, 3(8): 1283.
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9. |
耿英, 段红菊, 张志茹. 应用宫腔镜与B超联合定位活组织检查与诊断性刮宫诊断子宫疾患的比较. 中华妇产科杂志, 2003, 38(2): 109.
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10. |
Kovac SR. Guidelines to determine the route of hysterectomy. Obstet Gynecol, 1995, 85(1): 18-23.
|
11. |
Preutthipan S, Linasmita V. A prospective comparative study between hysterosalpingography and hysteroscopy in the detection of intrauterine pathology in patients with infertility. J Obstet Gynaecol Res, 2003, 29(1): 33-37.
|
- 1. 曹泽毅, 主编. 中华妇产科学. 第1版. 北京: 人民卫生出版社, 1999: 2169-2313.
- 2. 张军, 夏恩兰, 于丹, 等. 官腔镜检查在不育妇女中的应用. 北京医学, 2003, 25(4): 251.
- 3. Brusco GF, Arena S, Angelini A. The role of diagnostic hysteroscopy in infertile women. Minerva Ginecol, 2001, 53(5): 313-319.
- 4. 夏恩兰, 主编. 妇科内镜学. 第1版. 北京: 人民卫生出版社, 2001: 100-107.
- 5. 夏恩兰. 宫腔镜技术的近年进展. 中国实用妇产科杂志, 2000, 16(3): 182.
- 6. Cepni I, Ocal P, Erkan S, et al. Comparison of transvaginal sonography, saline infusion sonography and hysteroscopy in the evaluation of uterine cavity pathologies. Aust N Z J Obstet Gynaecol, 2005, 45(1): 30-35.
- 7. Golan A, Ron-El R, Herman A, et al. Diagnostic hysteroscopy: its value in an in-vitro fertilization/embryo transfer unit. Hum Reprod, 1992, 7(10): 1433-1434.
- 8. 张秀珍, 李红. 不孕症宫腔镜检查243例分析. 中国误诊学杂志, 2003, 3(8): 1283.
- 9. 耿英, 段红菊, 张志茹. 应用宫腔镜与B超联合定位活组织检查与诊断性刮宫诊断子宫疾患的比较. 中华妇产科杂志, 2003, 38(2): 109.
- 10. Kovac SR. Guidelines to determine the route of hysterectomy. Obstet Gynecol, 1995, 85(1): 18-23.
- 11. Preutthipan S, Linasmita V. A prospective comparative study between hysterosalpingography and hysteroscopy in the detection of intrauterine pathology in patients with infertility. J Obstet Gynaecol Res, 2003, 29(1): 33-37.
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