摘要
目的对宫腔镜检查在反复自然流产中的应用效果进行分析探讨。方法此次对该院于2018年2月—2019年1月接受治疗的自然流产患者一共200例纳入研究,进一步以流产次数的差异分成两个不同的组别,当中A组为2次流产者,一共126例;B组为>2次流产者,一共74例;两组均进行宫腔镜检查,然后对比两组检查结果。结果①经宫腔镜检查结果,A组宫腔未见异常率为60.32%,和B组的32.43%对比显著更高;A组宫腔粘连检出率为22.22%,和B组的44.59%对比显著更低(χ^2=11.293、10.267,P<0.05)。除此之外,在子宫畸形、子宫内膜息肉、子宫内膜炎、宫腔机能不全、黏膜下肌瘤、妊娠物残留检出率方面,A组分别为7.94%、4.76%、3.17%、0.00%、1.59%、0.00%,和B组的6.76%、6.76%、4.05%、2.70%、0.00%、2.70%比较均差异无统计学意义(χ^2=1.293、1.237、1.285、1.573、1.573、1.573,P>0.05)。②两组患者对宫腔镜检查服务工作的满意程度均颇高,A组总满意度为98.41%、B组为98.65%,对比差异无统计学意义(χ^2=1.267,P>0.05)。结论宫腔镜检查反复自然流产的效果显著,患者满意度高,可明确患者宫腔病变情况,为进一步的诊疗工作提供客观、科学的参考依据;因此,具备推广及使用的价值。
Objective To analyze the effect of hysteroscopy in repeated spontaneous abortion.Methods A total of 200 patients with spontaneous abortion who were treated in the hospital from February 2018 to January 2019 were included in this study.They were further divided into two different groups based on the difference in the number of abortions,of which group A was 2 abortions.There were 126 cases in total;group B was>2 abortions,a total of 74 cases;both groups underwent hysteroscopy,and then compared the results of the two groups.Results 1.After hysteroscopy,the abnormal rate of uterine cavity in group A was 60.32%,which was significantly higher than that in group B.The detection rate of adhesion in group A was 22.22%,which was significant lower that in group B 44.59%(χ^2=11.293,10.267,P<0.05).In addition,in the detection rate of uterine malformations,endometrial polyps,endometritis,uterine insufficiency,submucosal fibroids,and residual pregnancy,group A was 7.94%,4.76%,3.17%,0.00%,1.59%,0.00%,and 6.76%,6.76%,4.05%,2.70%,0.00%,2.70%of group B were not statistically significantly different(χ^2=1.293,1.237,1.285,1.573,1.573,1.573,P>0.05).2.Both groups of patients were quite satisfied with the hysteroscopy service.The total satisfaction of group A was 98.41%,and that of group B was 98.65%.There was no statistically significant difference in comparison(χ^2=1.267,P>0.05).Conclusion Hysteroscopy has a significant effect of repeated spontaneous abortion,and the patient satisfaction is high,which can clarify the patient's uterine cavity lesions and provide an objective and scientific reference for further diagnosis and treatment;therefore,it has the value of promotion and use.
作者
王道静
WANG Dao-jing(Department of Obstetrics and Gynecology,Coal Linyi Hot Spring Sanatorium,(Linyi Hedong Central Hospital),Linyi,Shandong Province,276000 China)
出处
《系统医学》
2020年第15期85-87,共3页
Systems Medicine
关键词
宫腔镜检查
反复自然流产
检查结果
宫腔病变
Hysteroscopy
Repeated spontaneous abortion
Examination results
Uterine cavity disease
