Edmonton, AB.
Halifax, NS.
J Obstet Gynaecol Can. 2024 Feb;46(2):102400. doi: 10.1016/j.jogc.2024.102400. Epub 2024 Feb 5.
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.
Patients with infertility (inability to conceive after 12 months of unprotected intercourse) undergoing investigation and treatment.
BENEFITS, HARMS, AND COSTS: 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.
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).
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).
Gynaecologists who manage common conditions in patients with infertility.
When offering hysteroscopic surgery to patients with infertility, ensure it improves the live birth rate.
RECOMMENDATIONS.
评估宫腔镜在不孕患者管理中的适应证、益处和风险，并为管理这些患者常见病症的妇科医生提供指导。
不孕（未采取保护措施的性行为 12 个月后仍无法受孕）患者，正在接受调查和治疗。
益处、危害和成本：宫腔镜手术可用于诊断不孕的病因，并改善生育治疗结局。所有手术都有风险，并伴有相关并发症。宫腔镜手术并非总能改善生育结局。所有手术都有费用，由患者或其医疗保险提供者承担。
我们在 PubMed/MEDLINE、Embase、Science Direct、Scopus 和 Cochrane Library 中检索了 2010 年 1 月至 2021 年 5 月的英文文章（见附录 B 中的 MeSH 检索词）。
作者使用推荐评估、制定与评价（GRADE）方法评估证据质量和推荐强度。见附录 A（表 A1 用于定义，表 A2 用于强推荐和有条件推荐的解释）。
管理不孕患者常见病症的妇科医生。
为不孕患者提供宫腔镜手术时，确保其能提高活产率。
推荐意见。
