目的:为了评估适应症,好处,和宫腔镜在不孕症患者治疗中的风险,并为管理这些患者常见疾病的妇科医生提供指导。
方法:不孕患者(12个月无保护性交后不能怀孕)接受调查和治疗。
结果:宫腔镜手术可用于诊断不孕症的病因并改善生育治疗结果。所有手术都有风险和相关并发症。宫腔镜手术可能并不总是改善生育结果。所有的程序都有成本,由患者或其健康保险提供者承担。
方法:我们在PubMed/MEDLINE搜索了2010年1月至2021年5月的英文文章,Embase,科学直接,Scopus,和Cochrane图书馆(MeSH搜索词见附录B)。
方法:作者使用建议分级评估对证据质量和建议强度进行了评估,开发和评估(等级)方法。见在线附录A(表A1的定义和A2的强和有条件的建议的解释)。
■处理不孕症患者常见病症的妇科医生。
结论:为不孕症患者提供宫腔镜手术时,确保它提高了活产率。
OBJECTIVE: To evaluate the indications, benefits, and risks of hysteroscopy in the management of patients with infertility and provide guidance to gynaecologists who manage common conditions in these patients.
METHODS: Patients with infertility (inability to conceive after 12 months of unprotected intercourse) undergoing investigation and treatment.
RESULTS: Hysteroscopic surgery can be used to diagnose the etiology of infertility and improve fertility treatment outcomes. All surgery has risks and associated complications. Hysteroscopic surgery may not always improve fertility outcomes. All procedures have costs, which are borne either by the patient or their health insurance provider.
METHODS: We searched English-language articles from January 2010 to May 2021 in PubMed/MEDLINE, Embase, Science Direct, Scopus, and Cochrane Library (see Appendix B for MeSH search terms).
METHODS: The authors rated the quality of evidence and strength of recommendations using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach. See Appendix A (Tables A1 for definitions and A2 for interpretations of strong and conditional recommendations).
UNASSIGNED: Gynaecologists who manage common conditions in patients with infertility.
CONCLUSIONS: When offering hysteroscopic surgery to patients with infertility, ensure it improves the live birth rate.
CONCLUSIONS: RECOMMENDATIONS.