Litta Pietro, Spiller Elena, Saccardi Carlo, Ambrosini Guido, Caserta Donatella, Cosmi Erich
Department of Gynecological Science and Human Reproduction, University of Padua School of Medicine, Padua, Italy.
Int J Gynaecol Obstet. 2008 Apr;101(1):39-42. doi: 10.1016/j.ijgo.2007.10.013. Epub 2008 Feb 20.
To assess the feasibility, safety, and reproductive outcome of hysteroscopic metroplasty using the Versapoint device compared with the resectoscope using the Collins loop.
Sixty-three women diagnosed with partial septate uterus were included in the study. Forty-two women underwent hysteroscopic metroplasty using Versapoint and 21 women had the procedure using the resectoscope. Operating time, complications, pregnancy rate, and mode of delivery were recorded. Data were analyzed with the Mann-Whitney test.
Operating time was 20.5 min for the resectoscope group and 15.4 min for the Versapoint group (P<0.05). Pregnancy rate, delivery rate, and spontaneous abortions were similar in both groups.
Operative hysteroscopy with Versapoint does not require cervical dilation, thus avoiding cervical incompetence, cervical lacerations, and uterine perforation. The Versapoint technique is a safe and effective alternative to the resectoscope. It could be used predominantly in nulligravida women, especially in those with cervical canal stenosis.
评估与使用柯林斯环的电切镜相比，使用Versapoint设备进行宫腔镜子宫成形术的可行性、安全性及生殖结局。
63例诊断为部分纵隔子宫的女性纳入本研究。42例女性使用Versapoint进行宫腔镜子宫成形术，21例女性使用电切镜进行该手术。记录手术时间、并发症、妊娠率及分娩方式。数据采用曼-惠特尼检验进行分析。
电切镜组手术时间为20.5分钟，Versapoint组为15.4分钟（P<0.05）。两组的妊娠率、分娩率及自然流产情况相似。
使用Versapoint进行手术宫腔镜检查无需宫颈扩张，从而避免了宫颈机能不全、宫颈裂伤及子宫穿孔。Versapoint技术是电切镜的一种安全有效的替代方法。它可主要用于未孕女性，尤其是宫颈管狭窄的女性。
