Olivari A, Fluxá L, Hernández M, Vergara F, Correa L
Departamento de Obstetricia y Ginecología, Facultad de Medicina, Universidad de Concepción.
Rev Chil Obstet Ginecol. 1991;56(1):3-8.
Clinical data of 29 patients with uterine malformation treated at the Fertility Unit, Service and Department of Obstetrics and Gynecology, Dr. G. Grant B. Clinical Hospital, Concepción Chile from January 1978 to May 1990 are presented. Uterine septa (19 cases, 65.5%) were the most common uterine malformation found. Less frequent were: uterus bicornuous 7 cases (24.1%) and uterus didelphis 3 cases (10.4%). The high frequency (92.8%) of pregnancy wastage is detached. Surgical treatment was practiced in 24 patients. Thirteen Tompkins and 5 Jones techniques were performed in 18 uterine septa. Five Strassman techniques and one extirpation of a rudimentary not communicated horn were practised in the 6 cases with uterus bicornuous. In patients with adequate follow-up, the overall term birth rate after metroplasty is 84.6% compared with only 2.4% before surgical treatment. This study concludes that in despite of the lack of hysteroscopy as a new method of uterine septa treatment our patient's infertility was benefited with surgical treatment of uterine anomalies.
本文呈现了1978年1月至1990年5月期间，在智利康塞普西翁市G. Grant B.临床医院妇产科生育科接受治疗的29例子宫畸形患者的临床数据。子宫纵隔（19例，65.5%）是最常见的子宫畸形。较不常见的有：双角子宫7例（24.1%）和双子宫3例（10.4%）。妊娠丢失的发生率较高（92.8%）。24例患者接受了手术治疗。18例子宫纵隔患者中，实施了13例Tompkins手术和5例Jones手术。6例双角子宫患者中，实施了5例Strassman手术和1例切除未连通的残角子宫手术。在有充分随访的患者中，子宫成形术后的足月分娩率总体为84.6%，而手术治疗前仅为2.4%。本研究得出结论，尽管缺乏宫腔镜作为治疗子宫纵隔的新方法，但我们患者的不孕症通过子宫畸形的手术治疗得到了改善。
