TROPHY硬型宫腔镜在不孕症患者门诊检查治疗中的应用研究

发布时间：2018-02-24 13:25

本文关键词： TROPHY硬型宫腔镜纤维软型宫腔镜 VAS疼痛评分　出处：《实用妇产科杂志》2017年05期 　论文类型：期刊论文

【摘要】：目的:评价TROPHY硬型宫腔镜系统在不孕症患者门诊无麻醉宫腔镜检查治疗中的应用价值。方法:选择2016年4月至8月在北京大学第三医院生殖医学中心门诊行宫腔镜检查并符合纳入标准的200例不孕症患者。随机分为两组,应用TROPHY硬型宫腔镜为硬镜组(100例),使用软型纤维宫腔镜为软镜组(100例)。比较两组患者的疼痛评分、检查时间、置镜失败率、阴道窥器使用率、宫颈钳使用率、并发症发生率等。结果:两组检查时间、疼痛评分、置镜失败率、并发症发生率比较,差异均无统计学意义(P0.05)。硬镜组阴道窥器和宫颈钳使用率较软镜组低,差异有统计学意义(P0.01)。TROPHY硬型宫腔镜手术鞘完成子宫内膜息肉的剪除和宫腔粘连分离术36例,其中12例由软型宫腔镜组转硬型宫腔镜完成。结论:TROPHY硬型宫腔镜可以应用于不孕患者无麻醉门诊检查中,并能完成部分手术,患者耐受性好。
[Abstract]:Objective: to evaluate the value of TROPHY hard hysteroscopy system in the treatment of infertility patients without anesthesia hysteroscopy. Methods: from April 2016 to August, we chose to perform uterine cavity in the outpatient clinic of Reproductive Medicine Center of the third Hospital of Peking University. Two hundred infertile patients who were examined under microscope and met the inclusion criteria were randomly divided into two groups. TROPHY hard hysteroscopy was used as hard endoscopy group and soft fiber hysteroscopy as soft endoscope group. The pain score, examination time, failure rate, vaginal speculum usage rate and cervical forceps utilization rate were compared between the two groups. Results: there was no significant difference between the two groups in the examination time, pain score, failure rate of endoscopy and incidence of complications (P 0.05). The utilization rate of vaginal speculum and cervical forceps in hard mirror group was lower than that in soft microscope group. The difference was statistically significant (P 0.01) .TROPHY hard hysteroscopic surgical sheath was performed in 36 cases of endometrial polyps. Among them, 12 cases were treated by soft hysteroscopy group and hard hysteroscopy. Conclusion: TROPHY hard hysteroscopy can be used in the non-anaesthesia outpatient examination of infertile patients, and partial operation can be completed, and the patient has good tolerance.
【作者单位】：北京大学第三医院;福建中医药大学附属人民医院;
【基金】：基金项目:子宫内膜异位症合并不育患者在位子宫内膜microRNA的表达和作用机制的研究,编号(81170618)
【分类号】：R711.6

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