Narita O, Asai M, Masahashi T, Osawa M, Suganuma N, Mizutani S, Tomoda Y
Surg Gynecol Obstet. 1985 Aug;161(2):152-6.
Habitual abortion and premature delivery are occasionally associated with a bicornuate or septate type of uterus when the abnormality is severe. A considerable improvement of reproductive performance was seen in patients who underwent plastic operation of the uterus. The procedures introduced by Strassman, Jones and Tompkins were used. Although it is still difficult to compare the postoperative reproductive history of these three surgical procedures, the procedure used by Tompkins may be technically more simple and provides for an easier entrance into the endometrial cavities in order to incise the common lower uterine segment. Primary sterility still remains a controversial indication for metroplasty and the postoperative reproductive history for this is poor.
习惯性流产和早产偶尔与严重的双角子宫或纵隔子宫类型相关。接受子宫整形手术的患者生殖性能有显著改善。采用了施特拉斯曼、琼斯和汤普金斯介绍的手术方法。虽然仍难以比较这三种手术方法术后的生殖史,但汤普金斯采用的方法在技术上可能更简单,进入子宫内膜腔以便切开子宫下段共同部分更容易。原发性不孕仍然是子宫成形术的一个有争议的适应证,其术后生殖史较差。