国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2012年
16期
2408-2409
,共2页
反复自然流产%妊娠%宫腔镜检查
反複自然流產%妊娠%宮腔鏡檢查
반복자연유산%임신%궁강경검사
Recurrent spontaneous abortion (RSA)%Pregnancy%Hysteroscopy
目的 分析实施反复自然流产患者宫腔镜检查结果.方法 回顾我院2008年1月至2011年12月间反复自然流产行宫腔镜检查病人184例的临床资料,分析宫腔镜检查结果,对发现的宫腔病变进行治疗,观察再次妊娠的结局.结果 184例中127例(69.02％)存在宫腔病变,其中宫腔粘连70例(38.04％),子宫内膜息肉26例(14.13％),子宫内膜炎22例(11.96％),黏膜下子宫肌瘤3例(1.63％),部分性子宫纵隔6例3.26％).122例(96.06％)获得临床妊娠.127例病人经治疗后再次妊娠,122例(96.06％)获得临床妊娠.宫外孕2例(1.57％);再次早孕自然流产3例(2.36％),早产8例(6.30％)足月分娩111例(87.40％).结论 反复自然流产时应将宫腔镜检查列为必要的检查,对宫腔异常病人治疗后可以改善妊娠结局.
目的 分析實施反複自然流產患者宮腔鏡檢查結果.方法 迴顧我院2008年1月至2011年12月間反複自然流產行宮腔鏡檢查病人184例的臨床資料,分析宮腔鏡檢查結果,對髮現的宮腔病變進行治療,觀察再次妊娠的結跼.結果 184例中127例(69.02％)存在宮腔病變,其中宮腔粘連70例(38.04％),子宮內膜息肉26例(14.13％),子宮內膜炎22例(11.96％),黏膜下子宮肌瘤3例(1.63％),部分性子宮縱隔6例3.26％).122例(96.06％)穫得臨床妊娠.127例病人經治療後再次妊娠,122例(96.06％)穫得臨床妊娠.宮外孕2例(1.57％);再次早孕自然流產3例(2.36％),早產8例(6.30％)足月分娩111例(87.40％).結論 反複自然流產時應將宮腔鏡檢查列為必要的檢查,對宮腔異常病人治療後可以改善妊娠結跼.
목적 분석실시반복자연유산환자궁강경검사결과.방법 회고아원2008년1월지2011년12월간반복자연유산행궁강경검사병인184례적림상자료,분석궁강경검사결과,대발현적궁강병변진행치료,관찰재차임신적결국.결과 184례중127례(69.02％)존재궁강병변,기중궁강점련70례(38.04％),자궁내막식육26례(14.13％),자궁내막염22례(11.96％),점막하자궁기류3례(1.63％),부분성자궁종격6례3.26％).122례(96.06％)획득림상임신.127례병인경치료후재차임신,122례(96.06％)획득림상임신.궁외잉2례(1.57％);재차조잉자연유산3례(2.36％),조산8례(6.30％)족월분면111례(87.40％).결론 반복자연유산시응장궁강경검사렬위필요적검사,대궁강이상병인치료후가이개선임신결국.
Objective To analyze the hysteroscopic inspection results in patients with recurrent spontaneous abortion (RSA).Methods A retrospective study was carried in 184 patients undergoing hysteroscopy because of RSA during January 2008 to December 2011.The results were analyzed,the diseases of uterinecavity were treated and the repregnancy outcome was observed.Results Among 184 patients,intrauterine pathological changes were found in 127(69.05％) cases,including 70 intrauterine adhesion,26 cndometrial polyps,22 endometritis,3 submucous leiomyoma and 6 uterus septum.Of those after therapy,122 patients got clinical pregnancy,2 with ectopic pregnancy,3 with RSA,and delivery received in 111 cases.Conclusion Hysteroscopy should be the first choice for patients with RSA.A perfect therapy for patients with abnormal uterine cavity may improve the pregnancy outcome.
