Stampe Sørensen S
Department of Gynecology K, Bispebjerg Hospital, Copenhagen, Denmark.
Acta Obstet Gynecol Scand. 1988;67(5):441-5. doi: 10.3109/00016348809004257.
Among 167 women who underwent laparoscopic sterilization in the course of one year, 1.2% were found to have a bicornuate uterus. Of them, 111 were offered follow-up by hysterosalpingography (HSG), and the history of their menstrual pattern as well as reproductive potential was recorded. Evaluation of the HSG exposures revealed 3.6% moderately to severely septate uteri (H/L greater than 0.20), and a total of 15.3% had fundal anomalies (H/L greater than 0.10). In women who had always had normal fertility and menstrual cycles of less than 35 days, the corresponding frequencies of septate uterus were 1.2% and 11.8% respectively. Among women who had had oligomenorrheic periods exceeding one year in duration, the frequency of müllerian anomalies was significantly higher (21.1% at H/L greater than 0.20 and 36.8% at H/L greater than 0.10) than in the above-mentioned groups. A control group of infertile oligomenorrheic women revealed that the material was comparable with previously published populations as regard the occurrence of minor müllerian anomalies. It is concluded that the HSG-diagnosed prevalence of developmental uterine anomalies is in general somewhat higher than usually assumed.
在一年中接受腹腔镜绝育术的167名女性中，发现1.2%患有双角子宫。其中，111名女性接受了子宫输卵管造影术（HSG）随访，并记录了她们的月经模式和生殖潜能史。对HSG检查结果的评估显示，3.6%为中度至重度纵隔子宫（H/L大于0.20），共有15.3%存在子宫底部异常（H/L大于0.10）。在生育能力一直正常且月经周期少于35天的女性中，纵隔子宫的相应发生率分别为1.2%和11.8%。在月经稀发持续时间超过一年的女性中，苗勒管异常的发生率（H/L大于0.20时为21.1%，H/L大于0.10时为36.8%）显著高于上述组。一组不孕且月经稀发的女性对照组显示，就轻微苗勒管异常的发生率而言，该组与先前发表的人群具有可比性。得出的结论是，HSG诊断的子宫发育异常患病率总体上比通常认为的要略高。
