Sendag F, Mermer T, Yucebilgin S, Oztekin K, Bilgin O
Department of Obstetrics and Gynecology, Faculty of Medicine, Ege University, Izmir, Turkey.
Clin Exp Obstet Gynecol. 2010;37(4):287-9.
To evaluate reproductive outcome after hysteroscopic metroplasty.
We analyzed the reproductive outcome of 30 patients with different degrees of septate uterus undergoing hysteroscopic metroplasty. In all cases the procedure was performed by resectoscope.
The patients had a total 74 pregnancies before metroplasty. Of these, ten (14%) were carried to term, six (8%) ended in preterm delivery, and 58 (78%) ended in spontaneous abortion. At least one year following hysteroscopic metroplasty a total of 20 pregnancies occurred. Of these, 11 (55%) were carried to term, two (10%) ended in preterm delivery, seven (35%) ended in spontaneous abortion.
Correction of uterine septum significantly improves the prognosis of the pregnancies in patients with a history of severe obstetric problems. These results are similar to the results reported in the literature. Our data analysis suggests that hysteroscopic metroplasty for uterine septum improves pregnancy outcome of patients who come to us with a desire to conceive.
评估宫腔镜子宫成形术后的生殖结局。
我们分析了30例不同程度纵隔子宫患者接受宫腔镜子宫成形术的生殖结局。所有病例均通过电切镜进行手术。
患者在子宫成形术前共有74次妊娠。其中,10例(14%)足月分娩,6例(8%)早产,58例(78%)自然流产。宫腔镜子宫成形术后至少一年共发生20次妊娠。其中,11例(55%)足月分娩,2例(10%)早产,7例(35%)自然流产。
子宫纵隔的矫正显著改善了有严重产科问题病史患者的妊娠预后。这些结果与文献报道的结果相似。我们的数据分析表明,宫腔镜子宫纵隔成形术可改善有生育意愿患者的妊娠结局。