DeCherney A H, Russell J B, Graebe R A, Polan M L
Fertil Steril. 1986 May;45(5):726-8. doi: 10.1016/s0015-0282(16)49350-7.
Of the 103 patients taken to the operating room for hysteroscopic resection of a septum, 72 underwent successful resection of the septum. The initial hysterogram can identify those patients who may benefit from the procedure but cannot discriminate between bicornuate and septate uteri. Knowledge of the size and contour of the uterus is essential to the final decision to proceed transcervically, opposed to transabdominally. In the transcervical repair group, at the time this article was written, there were 58 term deliveries and 5 ongoing pregnancies greater than 30 weeks (1 had a spontaneous abortion after surgery and subsequently conceived a term pregnancy), for a successful pregnancy rate of 86%. This correlated well with the pregnancy rates observed after metroplasty. Therefore, hysteroscopic resection constitutes a valuable alternative to the classical transabdominal approach.
在103例接受宫腔镜下中隔切除术的患者中，72例成功切除了中隔。最初的子宫输卵管造影可以识别那些可能从该手术中获益的患者，但无法区分双角子宫和中隔子宫。了解子宫的大小和轮廓对于最终决定经宫颈手术还是经腹手术至关重要。在经宫颈修复组，在撰写本文时，有58例足月分娩，5例妊娠超过30周（1例术后自然流产，随后再次妊娠并足月分娩），成功妊娠率为86%。这与子宫成形术后观察到的妊娠率密切相关。因此，宫腔镜切除术是经典经腹手术的一种有价值的替代方法。
