Wang Jian-Hua, Xu Kai-Hong, Lin Jun, Chen Xue-Zhen
Department of Obstetrics and Gynecology, Women's Hospital, School of Medicine, Zhejiang University, Hangzhou City, Zhejiang Province, People's Republic of China.
Fertil Steril. 2009 Jun;91(6):2643-9. doi: 10.1016/j.fertnstert.2008.04.009. Epub 2008 Jun 18.
To evaluate the safety and efficacy of hysteroscopic septum resection of the complete septate uterus with cervical duplication in patients with recurrent spontaneous abortions or infertility.
Prospective consecutive clinical study.
University hospital for obstetrics, gynecology, and reproductive medicine.
SUBJECT(S): Twenty-five patients with a complete septate uterus, cervical duplication, and history of recurrent spontaneous abortions (13 cases) or infertility (12 cases) were included.
INTERVENTION(S): Hysteroscopic septum resection and sparing the double cervix using a bougie served as a means of orientation and blockage of internal cervical os.
MAIN OUTCOME MEASURE(S): Intraoperative and postoperative complications, and postoperative anatomic identification of the uterus.
RESULT(S): No intraoperative and postoperative complications were encountered. Postoperatively, ultrasound revealed minor fundal septal remnants in 7 (31.8%) of 22 patients receiving the ultrasound detection, and no residual septum in the other 15 cases (68.2%).
CONCLUSION(S): By using a bougie technique, hysteroscopic correction of complete septate uterus with cervical duplication and sparing the double cervix can be performed successfully.
评估宫腔镜下对伴有双宫颈的完全纵隔子宫进行纵隔切除术治疗复发性自然流产或不孕症患者的安全性和有效性。
前瞻性连续临床研究。
大学附属医院的妇产科及生殖医学科。
纳入25例伴有双宫颈的完全纵隔子宫患者，其中有复发性自然流产史的13例，有不孕症的12例。
宫腔镜下纵隔切除术，使用探条作为定位和阻塞宫颈内口的手段以保留双宫颈。
术中及术后并发症，以及术后子宫的解剖学确认。
未出现术中及术后并发症。术后，22例行超声检查的患者中，7例（31.8%）超声显示宫底有少量纵隔残留，另外15例（68.2%）无纵隔残留。
通过使用探条技术，可成功地对伴有双宫颈的完全纵隔子宫进行宫腔镜矫正并保留双宫颈。
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