Gitsch G, Riss P, Janisch H
II. Universitäts-Frauenklinik Wien.
Geburtshilfe Frauenheilkd. 1990 Jun;50(6):467-9. doi: 10.1055/s-2008-1026283.
In the last 10 years, 12 abdominal metroplasties (Tompkins) were performed at the 2nd Department of Obstetrics and Gynaecology, Vienna. All patients had a history of at least 2 spontaneous abortions, caused by a deformity of the uterus. The operation according to Tompkins, is technically simple and does not result in a defect in the uterus. There were no intraoperative or postoperative complications. Follow-up was possible in 10 patients, 8 of whom had a persisting wish for a child. 5 of these women became pregnant again, one had an abortion. All children were delivered by elective Caesarean section after the 36th week; the fetal outcome was satisfactory. In our experience, Tompkins' operation is the surgical therapy of choice in habitual abortion cause by Müllerian anomalies.
在过去10年中，维也纳第二妇产科进行了12例腹部子宫成形术（汤普金斯术式）。所有患者都有至少2次自然流产史，原因是子宫畸形。按照汤普金斯术式进行的手术在技术上很简单，不会导致子宫出现缺损。术中及术后均无并发症。10例患者得以随访，其中8例仍有生育意愿。这些女性中有5例再次怀孕，1例流产。所有胎儿均在孕36周后通过选择性剖宫产娩出；胎儿结局令人满意。根据我们的经验，汤普金斯手术是治疗苗勒管异常所致习惯性流产的首选手术疗法。
