Clinical Analysis of Hysteroscopy Results of Infertile Patients in Northern Shandong

Abstract

Abstract: Objective To analysis the hysteroscopy results of 2 123 female infertility patients in northern Shandong. Methods Retrospective analysis was performed on the case data of 2 123 female infertility patients in northern Shandong who underwent hysteroscopy in the Department of Reproductive Medicine of our hospital from January 2015 to December 2021 due to infertility (1 426 cases), adverse pregnancy history (448 cases), history of pregnancy failure assisted by IUI (61 cases) and history of pregnancy failure assisted by IVF (188 cases). The hysteroscopy results of patients with different types of infertility, age group, number of adverse pregnancies, and number of failed pregnancies assisted by IUI/IVF were compared. Results Among 1426 patients undergoing hysteroscopy due to infertility, 686 had abnormal results, with an abnormal rate of 48.11%. There were 428 cases of primary infertility, and 240 cases were abnormal, with an abnormal rate of 56.07%. There were 998 cases of secondary infertility, and 446 cases were abnormal, the abnormal rate was 44.69% (P<0.05). The incidence of endometrial polyp, chronic endometritis and abnormal uterine development in primary infertility group was 21.73%, 21.73% and 3.97%, respectively, which were higher than those in secondary infertility group (P<0.05). The incidence of intrauterine adhesions in secondary infertility group was 9.92% higher than that in primary infertility group (P<0.05). With the increase of age, the overall abnormal rate showed a downward trend (P>0.05), and the abnormal rate of uterine development gradually decreased (P<0.05). With the increase of infertility years, the overall abnormal rate gradually increased (P<0.05). The abnormal rate of hysteroscopy increased gradually with the increase of the number of adverse pregnancies (P<0.05). With the increase of IUI-assisted pregnancy failure, hysteroscopy abnormality rate showed an increasing trend (P>0.05). The abnormal rate of hysteroscopy decreased with the increase of transplant failure (P>0.05). Conclusion The uterine abnormality rate of female infertility patients in northern Shandong is high, the overall abnormal rate of hysteroscopy is related to infertility factors, and the abnormal rate of uterine development is related to age. The duration of infertility is greater than or equal to 3 years, and the number of adverse pregnancies is greater than or equal to 3 times. Hysteroscopy is recommended.

Key words: hysteroscopy, infertility, endometrial polyps, chronic endometrial, intrauterine adhesion, uterine malformation

CLC Number:

R713.7

PANG Yi-wei, YIN Hong-mei, WANG Xin-hua, DING Yan-xia, HAN Lei. Clinical Analysis of Hysteroscopy Results of Infertile Patients in Northern Shandong[J]. ZHONGHUA YANGSHENG BAOJIAN, 2023, 41(11): 10-13.

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