Römer T, Lober R, Göretzlehner G, Bojahr B
Universitäts-Frauenklinik, Ernst-Moritz-Arndt-Universität Greifswald.
Zentralbl Gynakol. 1992;114(10):486-90.
From 1983 to 1990 15 metroplasties were carried out at the Department of Obstetrics and Gynecology Greifswald. 11 of these operations were combined with a microsurgical tubal operation. For the diagnostics of uterus malformation and tubal damage as many methods as possible (hysterosalpingography, laparoscopy with chromotubation, hysteroscopy and sonography) should be used. A postoperative life birth rate of 62.5% shows that an operative correction of uterus malformation and tubal damage in one session is justified. Metroplasty is also indicated at primary tubal sterility with simultaneous uterus malformation. A caesarean section is not primarily indicated after metroplasty.
1983年至1990年期间，格赖夫斯瓦尔德妇产科进行了15例子宫成形术。其中11例手术与显微外科输卵管手术联合进行。对于子宫畸形和输卵管损伤的诊断，应尽可能采用多种方法（子宫输卵管造影、染色输卵管插管腹腔镜检查、宫腔镜检查和超声检查）。术后62.5%的活产率表明，一次手术矫正子宫畸形和输卵管损伤是合理的。子宫成形术也适用于原发性输卵管不育合并子宫畸形的情况。子宫成形术后一般不首选剖宫产。
