Demir Berfu, Dilbaz Berna, Karadag Burak, Duraker Rafet, Akkurt Ozgur, Kocak Muberra, Goktolga Umit
Department of Obstetrics and Gynaecology, Etlik Zübeyde Hanım Women's Health Teaching and Research Hospital, Ankara, Turkey.
J Obstet Gynaecol Res. 2011 Nov;37(11):1596-600. doi: 10.1111/j.1447-0756.2011.01581.x. Epub 2011 Jul 6.
To investigate the coexistence of endometriosis and uterine septum patients whose complaints are abortion and infertility.
Ninety-two patients with a uterine septum and 191 patients who had undergone diagnostic laparoscopy for infertility were reviewed. The incidence of endometriosis in patients with a uterine septum was compared with patients with a normal uterine cavity; then the incidence of endometriosis was compared in association with having a preoperative diagnosis of presumed unexplained infertility in women with a partial or complete uterine septum.
There was no significant difference between the patients who had a uterine septum and those with a normal cavity in terms of the incidence of endometriosis (P = 0.39). Also, the incidence of endometriosis was not significantly different in patients who had a complete or partial uterine septum (P = 0.49). Endometriosis was observed in 8.7% of the patients who were presumed to have unexplained infertility in the complete uterine septum group and in 18.8% of the patients in the partial uterine septum group; but the difference was not statistically significant when complete and partial uterine septum groups were compared according to the type of infertility (partial uterine septum group, P = 0.13; complete uterine septum group, P = 0.28).
An increased incidence of endometriosis was not observed in patients with a septate uterus. The reason for infertility in women with a partial uterine septum may be related to endometriosis.
调查以流产和不孕为诉求的子宫内膜异位症与子宫纵隔患者的共存情况。
回顾了92例子宫纵隔患者和191例行诊断性腹腔镜检查的不孕患者。比较子宫纵隔患者与子宫腔正常患者的子宫内膜异位症发病率；然后比较部分或完全子宫纵隔女性术前诊断为不明原因不孕时的子宫内膜异位症发病率。
子宫纵隔患者与子宫腔正常患者的子宫内膜异位症发病率无显著差异（P = 0.39）。此外，完全或部分子宫纵隔患者的子宫内膜异位症发病率也无显著差异（P = 0.49）。完全子宫纵隔组中被认为不明原因不孕的患者中8.7%观察到子宫内膜异位症，部分子宫纵隔组中这一比例为18.8%；但根据不孕类型比较完全和部分子宫纵隔组时，差异无统计学意义（部分子宫纵隔组，P = 0.13；完全子宫纵隔组，P = 0.28）。
纵隔子宫患者未观察到子宫内膜异位症发病率增加。部分子宫纵隔女性不孕的原因可能与子宫内膜异位症有关。
