宫腔镜在宫腔病变所致复发性流产中的诊断价值

目的评价宫腔镜在宫腔病变所致复发性流产中的诊断价值。方法回顾性分析2011年6月-2013年6月我院201例复发性流产宫腔镜检查的临床资料。结果宫腔镜检查宫腔正常95例（47．3％）；宫腔异常106例（52．7％）：宫腔粘连55例，子宫畸形22例（其中子宫中隔16例），子宫内膜息肉17例，黏膜下子宫肌瘤和子宫内膜炎各4例，其它4例。宫腔粘连55例中，15例复发性流产2次（其中轻度12例，中度3例），40例复发性流产≥3次（其中轻度19例，中度15例，重度6例），复发性流产≥3次的患者官腔粘连程度重于复发性流产≥2次的患者（Z=-2．272，P=0．023）。结论宫腔镜检查有助于发现复发性流产者的宫腔病变，应作为常规检查。

Diagnostic Value of Hysteroscopy for Uterine Cavity Lesions Induced Recurrent Spontaneous Abortion

Objective To evaluate the diagnostic value of hysteroscopy for uterine cavity lesions induced recurrent spontaneous abortion. Methods The clinical data of 201 patients with recurrent spontaneous abortion undergoing hysteroscopy from June 2011 to June 2013 were analyzed retrospectively. Results Among the 201 cases, there were 95 cases of normal uterine cavity （47.3%） and 106 cases of abnormal uterine cavity （52.7%） which included 55 cases of intrauterine adhesions, 22 cases of uterine malformation （including 16 cases of septate uterus） , 17 cases of endometrial polyps, 4 cases of submucous myoma and endometritis respectively, arid 4 cases of other disorders. Among the 55 cases of intrauterine adhesions, there were 15 cases of recurrent abortion for 2 times （ including 12 mild cases and 3 moderate cases） and 40 cases of recurrent abortion for 3 or more than 3 times （ including 19 mild cases, 15 moderate cases and 6 severe cases）. The intrauterine adhesions in patients suffering from recurrent abortion for 3 or more than 3 times were severer than that of the patients suffering for 2 or more than 2 times （Z = - 2. 272, P = 0. 023）. Conclusion Hysteroscopy should be recommended for a routine inspection, which helps to detect uterine lesions in patients with recurrent spontaneous abortion.