Alborzi Saeed, Asadi Nasrin, Zolghadri Jaleh, Alborzi Soroosh, Alborzi Mehrnoosh
Division of Infertility and Gynecologic Endoscopy, Department of Obstetrics and Gynecology, Shiraz University of Medical Sciences, Shiraz, Iran.
Fertil Steril. 2009 Jul;92(1):352-5. doi: 10.1016/j.fertnstert.2008.04.025. Epub 2008 Aug 3.
To determine the feasibility of laparoscopic metroplasty in the treatment of bicornuate and didelphic uteri.
Case report.
University and private hospitals.
PATIENT(S): Four women with a diagnosis of double uterine cavity (two bicornuate and two didelphic uteri) with a history of two recurrent spontaneous abortions at less than 5 months of pregnancy.
INTERVENTION(S): Laparoscopic metroplasty with diagnostic hysteroscopy was performed for the unification of the uterus. Second-look laparoscopy and hysteroscopy was performed about 3 months later.
MAIN OUTCOME MEASURE(S): Evaluation of the uterine compliance to high intrauterine pressure and presence of adhesions in the pelvic and uterine cavities.
RESULT(S): In all four patients, laparoscopic metroplasty resulted in a unified uterus with a good cavity and tolerance to high intrauterine pressure. Minimal pelvic adhesions were noted in the two patients at the second surgery.
CONCLUSION(S): This new technique of laparoscopic metroplasty is an acceptable alternative for abdominal metroplasty, with minimal adhesion formation.
确定腹腔镜子宫成形术治疗双角子宫和双子宫的可行性。
病例报告。
大学医院和私立医院。
四名诊断为双子宫腔（两名双角子宫和两名双子宫）且有两次妊娠少于5个月反复自然流产病史的女性。
行腹腔镜子宫成形术联合诊断性宫腔镜检查以实现子宫融合。约3个月后进行二次腹腔镜检查和宫腔镜检查。
评估子宫对高宫腔压力的顺应性以及盆腔和宫腔内粘连情况。
所有四名患者经腹腔镜子宫成形术后子宫融合良好，宫腔形态良好且能耐受高宫腔压力。二次手术时两名患者盆腔粘连轻微。
这种腹腔镜子宫成形术新技术是腹部子宫成形术的一种可接受的替代方法，粘连形成最少。
