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中华妇幼临床医学杂志(电子版) ›› 2012, Vol. 08 ›› Issue (05) : 614 -616. doi: 10.3877/cma.j.issn.1673-5250.2012.05.017

所属专题： 文献；

论著

宫腔镜子宫纵隔剪开术治疗纵隔子宫的临床疗效分析
魏丽娜1, 孙秀芹1,*,*()   
  1. 1. 272100　山东济宁，山东省济宁市第一人民医院生殖医学科
  • 收稿日期:2012-07-02 修回日期:2012-09-15 出版日期:2012-10-01
  • 通信作者: 孙秀芹

Clinical Effects of Hysteroscopical Septate Uterus Section

Li-na WEI1, Xiu-qin SUN1()   

  1. 1. Department of Reproductive Medicine, Jining First People's Hospital, Jining 272100, Shandong Province, China
  • Received:2012-07-02 Revised:2012-09-15 Published:2012-10-01
  • Corresponding author: Xiu-qin SUN
  • About author:
    (Corresponding author: SUN Xiu-qin, Email: )
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魏丽娜, 孙秀芹. 宫腔镜子宫纵隔剪开术治疗纵隔子宫的临床疗效分析[J/OL]. 中华妇幼临床医学杂志(电子版), 2012, 08(05): 614-616.

Li-na WEI, Xiu-qin SUN. Clinical Effects of Hysteroscopical Septate Uterus Section[J/OL]. Chinese Journal of Obstetrics & Gynecology and Pediatrics(Electronic Edition), 2012, 08(05): 614-616.

目的

探讨宫腔镜子宫纵隔剪开术治疗纵隔子宫的临床疗效。

方法

选择2009年10月至2011年2月于本院确诊的38例纵隔子宫患者为研究对象，对其进行超声监测下宫腔镜子宫纵隔剪开术。观察纵隔子宫诊断符合率及手术前、后孕产情况等(本研究遵循的程序符合本院人体试验委员会所制定的伦理学标准，得到该委员会批准，并征得受试对象本人的知情同意，并与之签署临床研究知情同意书)。

结果

宫腔镜检查纵隔子宫诊断符合率为100.0%。术后随访12～24个月，自然流产率由术前的80.0%(24/30)下降至术后的18.5%(5/27)，足月活产率由术前的10.0%(3/30)上升至术后的55.6%(15/27)。

结论

宫腔镜子宫纵隔剪开术治疗纵隔子宫安全、有效，可明显改善患者孕产结局，可作为该病首选治疗方法。

关键词: 子宫纵隔剪开术, 宫腔镜
Objective

To explore the clinical effect of hysteroscopical septate uterus section in the treatment of septate uterus.

Methods

From October 2009 to February 2011, a total of 38 women with septate uterus were included in the study, and accepted hysteroscopical septate uterus section. Diagnostic accordance rate and pregnancy outcomes were observed. The study protocol was approved by the Ethical Review Board of Investigation in Human Being of Jining First People's Hospital.Informed consent was obtained from each patients.

Results

Diagnostic accordance rate of hysteroscopy was 100.0%.Follow-up of 12 to 24 months, the spontaneous abortion rate was decreased from 80.0%(24/30) to 18.5%(5/27), the full term-living birth rate was increased from 10.0%(3/30) to 55.6%(15/27).

Conclusions

Hysteroscopical septate uterus section is the most effective treatment for septate uterus, which can improve pregnant outcomes.So it can be used as the first choice of treatment of septate uterus.

Key words: septate uterus section, hysteroscopy
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