Pace Sebastiano, Cerekja Albana, Dillon Kathleen Comalli, Pace Giulia, Piazze Juan
Ospedale Israelitico, Rome, Italy.
J Prenat Med. 2013 Apr;7(2):25-8.
the objective of our research was to study uterine artery doppler indices and their evolution over time after metroplasty and subsequent pregnancy in patients whose septate uterus was the only explanation for infertility.
a retrospective study. The uterine arteries of 78 patients with septate uteri were evaluated using endovaginal color doppler ultrasound before and after metroplasty. Fifty-one patients became pregnant after metroplasty and were selected as study group, pregnancy occurred within 17 months. By comparing uterine artery doppler indices before and after metroplasty, we observed that the resistive index (RI) and pulsatility index (PI) post surgery were significantly lower compared to premetroplasty levels.
all pregnant women in the study group showed uterine resistive indexes within normal ranges, they all underwent scheduled cesarean in-tervention. Gestational evolution was normal in all patients (mean score of Apgar and birth weight); no neonatal complications were observed.
metroplastic intervention in women with septate uterus as the sole cause of infertility may be a plausible alternative for patients wishing to carry a pregnancy.
我们研究的目的是，在子宫纵隔是不孕的唯一原因的患者中，研究子宫动脉多普勒指数及其在子宫成形术后和后续妊娠期间随时间的变化情况。
一项回顾性研究。对78例子宫纵隔患者在子宫成形术前和术后使用经阴道彩色多普勒超声评估子宫动脉。51例患者在子宫成形术后怀孕并被选为研究组，怀孕发生在17个月内。通过比较子宫成形术前和术后的子宫动脉多普勒指数，我们观察到术后的阻力指数（RI）和搏动指数（PI）显著低于子宫成形术前水平。
研究组所有孕妇的子宫阻力指数均在正常范围内，她们均接受了计划剖宫产干预。所有患者的孕期进展正常（阿氏评分和出生体重的平均得分）；未观察到新生儿并发症。
对于希望怀孕的患者，以子宫纵隔作为不孕唯一原因的女性进行子宫成形术干预可能是一种可行的选择。
