Application of Hysteroscopy in Spontaneous Abortion

XUE Bai; FANG Yue-lan; ZHANG Xiao-jun

doi:10.14033/j.cnki.cfmr.2015.17.011

Abstract：Objective:To investigate the necessity of early diagnosing congenital and acquired intrauterine causes of spontaneous abortion by hysteroscopy. Method:The clinical data of 150 patients who underwent hysteroscopy with history of once or more than once abortions were reviewed,the hysteroscopy results were analyzed.The frequency of uterine anomalies diagnosed by hysteroscopy following one,two and three or more abortions was compared.The frequency of uterine anomalies diagnosed by hysteroscopy was compared between the primary RSA and the secondary RSA.Result:In 150 patients with spontaneous abortion,uterine anomalies accounted for 42.0%(63/150).The uterine septum and uterine adhesion were the highest in congenital or acquired uterine anomalies respectively,the incidence rate were 16.0%(24/150) and 13.3%(20/150) respectively.There was no significant difference in the frequency of uterine anomalies among the patients with abortions for once,twice,and three times or more(P>0.05).The occurrence of a prior live birth did not influence the frequency of uterine anomalies between the patients with primary RSA and secondary RSA,there was no statistically significant difference(P>0.05).Conclusion:In order to clarify the cause of intrauterine abnormal factors of spontaneous abortion,it is necessary for spontaneous abortion including 1 sporadic spontaneous abortion and secondary RSA patients with early hysteroscopy.