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宫腔镜子宫中隔切除术治疗子宫中隔:系统评价和荟萃分析。

Hysteroscopic metroplasty for the septate uterus: review and meta-analysis.

机构信息

Department of Obstetrics and Gynecology, Northwestern University Feinberg School of Medicine, Chicago, Illinois 60611-5715, USA.

出版信息

J Minim Invasive Gynecol. 2013 Jan-Feb;20(1):22-42. doi: 10.1016/j.jmig.2012.09.010.

DOI:10.1016/j.jmig.2012.09.010
PMID:23312243
Abstract

The introduction of hysteroscopy to diagnose and treat intrauterine conditions, specifically to divide the uterine septum, or metroplasty, has replaced the traditional laparotomy approach, and objective results demonstrate its salutary effects in women treated. Hysteroscopic metroplasty averts the implications of major invasive abdominal surgery, with good and satisfactory results in pregnancy and live-birth rates, despite the lack of prospective, randomized, controlled studies. A careful review of the published results supports this type of treatment when the uterine septum adversely affects normal reproductive function.

摘要

宫腔镜的引入用于诊断和治疗宫内疾病,特别是子宫中隔的切开术,或子宫整形术,已经取代了传统的剖腹手术方法,客观结果表明其对接受治疗的女性具有有益的效果。宫腔镜子宫整形术避免了重大侵入性腹部手术的影响,尽管缺乏前瞻性、随机、对照研究,但在妊娠和活产率方面取得了良好和满意的结果。仔细审查已发表的结果支持在子宫中隔对正常生殖功能产生不利影响时采用这种治疗方法。

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