整复性宫腔镜手术在不孕不育症治疗中的作用

目的探讨整复性宫腔镜手术在治疗宫腔因素所致的不孕不育中的作用。方法共计234例不孕不育病例,将其分为TCRS、TCRA、TCRM三组,术后随访各组妊娠情况与妊娠结局。结果TCRS、TCRA、TCRM三组的妊娠率分别为44.61%、40%、60.57%。TCRM组与TCRS及TCRA组比较,差异有显著性(P<0.05)。TCRA组自然流产率为30.95%,高于TCRS组(15.62%)和TCRM组(4.65%),差异有显著性(P<0.05和P<0.01)。结论整复性宫腔镜手术是治疗宫腔因素不孕不育患者的一种安全有效的微创方法。

Application of reconstructive hysteroscopy surgery in the treatment of infertility

Objective To evaluate the efficacy of reconstructive hysteroscopy surgery for infertility.Methods 234 patients of infertility caused by intrauterine lesions were divided into three groups: TCRS group, TCRA group and TCRM group. The clinical curative effect and pregnancy rate were followed up. Results The postoperative pregnancy rate of TCRM group(60.57%) was higher than those of TCRS group(44.61%) and TCRA group(40%) (P<0.05). The abortion rate of TCRA group was 30.95%, and the abortion rates of TCRS group and TCRM group were 15.62% and 4.65%. To compare with the two groups(TCRS and TCRM), the abortion rate of TCRA group was significantly higher than that in the other groups(P<0.05 and P<0.01). Conclusion Reconstructive hysteroscopy surgery is a safe and effective treatment for infertility caused by intrauterine lesions.