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目的探讨宫腔镜检查在复发性流产(recurrent spontaneous abortion,RSA)患者中的诊治作用。方法 2009年1月至2013年5月对苏州大学附属第二医院就诊的95例RSA患者进行宫腔镜检查,对其检查结果进行分析。结果 95例RSA患者中,子宫腔粘连70例(73.68%),子宫内膜息肉12例(12.63%),子宫腔畸形7例(7.37%),子宫内膜炎3例(3.16%),子宫黏膜下肌瘤1例(1.05%)。研究发现末次流产距就诊时限与宫腔粘连程度有明显相关性(P<0.05),时间间隔越长,宫腔粘连的程度越严重;自然流产次数与宫腔粘连程度没有明显相关性(P>0.05)。结论宫腔镜检查具有直观、操作简单、安全高效、并发症少等优点,在RSA的诊治中具有重要意义。
Objective To investigate the diagnosis and treatment of hysteroscopy in patients with recurrent spontaneous abortion (RSA). Methods From January 2009 to May 2013, 95 patients with RSA who visited the Second Affiliated Hospital of Soochow University were examined by hysteroscopy. The results of the examination were analyzed. Results Among the 95 patients with RSA, 70 cases (73.68%) had endometrial adhesions, 12 cases (12.63%) had endometrial polyps, 7 cases (7.37%) had uterine cavity deformity, 3 cases (3.16%) had endometritis, Submucous myoma in 1 case (1.05%). The study found that the time between last visit and abortion was significantly correlated with the degree of intrauterine adhesions (P <0.05). The longer the time interval, the more severe intrauterine adhesions. There was no significant correlation between the number of spontaneous abortion and intrauterine adhesions (P> 0.05). Conclusion Hysteroscopy has the advantages of visualization, simple operation, safe and efficient, less complications and so on, which is of great significance in the diagnosis and treatment of RSA.