454例不良孕产史患者宫腔镜检查的临床分析

发布时间：2018-05-09 03:11

本文选题：不良孕产史 + 宫腔镜检查　；参考：《中国妇产科临床杂志》2017年03期

【摘要】：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(P0.05),与严重程度无明显相关性(P0.05)。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。
[Abstract]:Objective to investigate the diagnostic value of hysteroscopy in patients with poor pregnancy and birth history. Methods from September 2013 to June 2015, 454 patients with adverse pregnancy and labor history were examined by hysteroscopy in the Center of hysteroscopy of Renaissance Hospital affiliated to Capital Medical University, and the results were analyzed. Results of the 454 patients with adverse pregnancy and birth history, There were 213 cases of uterine adhesion, 86 cases of uterine malformation, 27 cases of cervical insufficiency, 18 cases of submucous myoma, 15 cases of endometrial polyp, 5 cases of residual embryo, 3 cases of endometrial hyperplasia, 2 cases of endometrial tuberculosis and 0.44% of endometrial tuberculosis. There was a positive correlation between the frequency of spontaneous abortion and the incidence of intrauterine adhesion (P0.05), but there was no significant correlation between the frequency of spontaneous abortion and the severity of the disease. Conclusion hysteroscopy is simple, safe and effective, and has less complications, which is of great significance in the diagnosis of patients with poor history of pregnancy and childbirth.
【作者单位】：首都医科大学附属复兴医院;
【分类号】：R714.2

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