宫腔镜联合超声检查在不孕症妇女中的应用

Hysteroscopy combined with ultrasonography for diagnosis of intrauterine abnormality in infertility women

摘要: 目的：探讨宫腔镜联合超声检查诊断不孕症患者子宫内异常的临床价值。方法：对接受超声及宫腔镜检查的182例不孕症患者的临床资料进行回顾性分析。结果：182例不孕症患者B超检查发现子宫内异常88例，宫腔镜检查发现子宫内异常150例，两者差异有统计学意义(P；0.01)。子宫内膜息肉、子宫颈管病变、子宫肌瘤、子宫内膜炎、子宫腔粘连、子宫畸形为常见不孕症妇女子宫内病变。结论：宫腔镜检查具有良好的可接受性和准确性，有较高的阳性发现率，联合B超检查可及时、准确发现不孕症患者的子宫内病变。

Abstract: Objective:To assess the clinical value of hysteroscopy and ultrasonography in diagnosing the intrauterine abnormality in infertility women. Methods:The clinical data of 182 infertility women who had accepted hysteroscopy and ultrasound examination were analyzed retrospectively. Results:Intrauterine abnormality was detected in 88 of the cases by ultrasonography and 150 cases by hysteroscopy.There was significant difference between the two methods(P0.01).The common intrauterine abnormalities included endometrium polyp,cervical diseases,myoma,endometritis,uterine cavity adhesion and malformation of uterus. Conclusions:Hysteroscopy which is well acceptable and accurate is highly effective in detecting the intrauterine abnormality in infertility women when combined with ultrasonography.