Dapunt O, Sölder E, Moncayo H, Hohn A
Universitäts-Frauenklinik, Innsbruck, Osterreich.
Gynakol Geburtshilfliche Rundsch. 1992;32(3):134-7. doi: 10.1159/000271868.
Strassmann's operation in the presented manner has proven to be a valuable intervention in the case of infertility due to uterus bicornis or subseptus. The pregnancy rate observed after the operation was 92%, while the rate of abortion was 16%. Strassmann's operation requires smaller incisions compared with other metroplasties and was therefore continued. The establishment of the so-called 'abortus habitualis consulting hours' has led to a dramatic increase in the indication of a metroplasty. The proportion of patients with uterine malformations among those presenting with abortus habitualis amounts to 18%. Delivery by cesarean section 1-2 weeks before term should be taken into consideration from the obstetrical viewpoint. However, the decision for this treatment mode is also governed by the wish of the patient for minimal risk.
以目前这种方式进行的施特拉斯曼手术已被证明，对于双角子宫或纵隔子宫导致的不孕症而言，是一种有价值的干预措施。手术后观察到的妊娠率为92%，而流产率为16%。与其他子宫成形术相比，施特拉斯曼手术所需的切口较小，因此得以继续开展。所谓“习惯性流产咨询门诊”的设立，导致子宫成形术的适应症显著增加。在习惯性流产患者中，子宫畸形患者的比例达18%。从产科角度考虑，应考虑在预产期前1至2周进行剖宫产。然而，这种治疗方式的决定也取决于患者对最低风险的期望。
