341例复发性流产患者的宫腔镜检查结果分析

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Abstract Objective: To discuss the appropriate time-window for diagnostic hysteroscopy in patients with recurrent miscarriage. Methods: A retrospective study on the clinical and hysteroscopic investigation of 341 cases with recurrent miscarriage was conducted. According to the number of miscarriages (2, 3, and 4 or more consecutive miscarriages), patients were divided into three groups, and all received diagnostic hysteroscopy for uterine anomalies. Congenital (septate uterus/subseptum, arcuate uterus, unicornuate uterus, uterine hypoplasia) and acquired uterine abnormalities (intrauterine adhesions, polyp and submucous myoma) were recorded. The hysteroscopic results were compared between the groups. Results: No anomalies, congenital and acquired abnormalities in group 1, 2 and 3 were: 101 (62.7%), 42 (26.1%), 18 (11.2%); 61 (51.7%), 35 (29.7%), 22 (18.6%); 29 (46.8%), 18 (29%), 15 (24.2%). No signiﬁcant differences were found in the three groups (P=0.161). Conclusion:
Diagnostic hysteroscopy should be carried out after 2 consecutive miscarriages, in order to determine congenital and acquired uterine anomalies, finally improve pregnancy outcome. Especially in those older, anxious population who cannot venture to lose another pregnancy.

Key words： recurrent miscarriage hysteroscopy uterine anomalies

Received: 25 December 2014

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	CHEN Zhiwen
	SHI Zhengzheng
	ZENG Xiaobo
	LIN Ya
	WU Xueqing.

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https://xb.wmu.edu.cn/EN/ OR https://xb.wmu.edu.cn/EN/Y2015/V45/I4/298

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