【摘要】 目的探讨宫腔镜检查术在辅助生殖技术中应用的重要性。方法对150例拟行辅助生殖技术的不育妇女行常规宫腔镜检查。结果宫腔镜150例中47例(31%)有镜下异常,其中:子宫内膜息肉或息肉样增生18例(12%),子宫内膜单纯性增生17例(11%),子宫畸形7例(5%),宫腔粘连狭窄3例(2%),子宫内膜结核1例(0.7%),子宫黏膜下肌瘤或腺肌瘤1例(0.7%)。以宫腔镜诊断为标准,阴道超声诊断敏感性、特异性、阳性预测值、阴性预测值、准确率分别为66%(31/47)、98%(101/103)、94%(31/33)、86%(101/117)、88%(132/150),子宫造影分别为26%(12/47)、100%(95/95)、100%(12/12)、73%(95/130)、75%(107/142)。结论宫腔镜检查术具有良好的可接受性和准确性,应作为辅助生殖技术前的常规检查。更多还原

【Abstract】 Objective To explore the application of hysteroscopy in assisted reproduction. Methods A retrospective analysis was made on results of routine hysteroscopy in 150 cases of infertile women scheduled for assisted reproduction.Results Among the 150 cases,abnormal hysteroscopic findings were identified in 47 cases(31%),including endometrial polyps in 18 cases(12%),endometrial hyperplasia in 17 cases(11%),uterine deformity in 7 cases(5%),uterine adhesion and stenosis in 3 cases(2%),endometrial tuberculosis in 1 case(0.7%),and submucous myoma or adenomyoma in 1 case(0.7%).To think of hysteroscopic findings as the standard,the sensitivity,specificity,positive predicted rate,negative predicted rate,and accuracy were 66%(31/47),98%(101/103),94%(31/33),86%(101/117),and 88%(132/150) for transvaginal ultrasonography,respectively,and were 26%(12/47),100%(95/95),100%(12/12),73%(95/130),and 75%(107/142) for uterophotography,respectively.Conclusions Hysteroscopy is a simple and reliable way to explore the uterine cavity.It may be selected as a routine examination before assisted reproduction.更多还原