The American Society for Reproductive Medicine, Washington, D.C.
Fertil Steril. 2024 Aug;122(2):251-265. doi: 10.1016/j.fertnstert.2024.02.033. Epub 2024 Apr 1.
To provide evidence-based recommendations regarding the diagnosis and effectiveness of surgical treatment of a uterine septum.
This guideline provides evidence-based recommendations regarding the diagnosis and effectiveness of surgical treatment of a uterine septum. This replaces the last version of the same name (Fertil Steril. 2016 Sep 1;106(3):530-40).
MAIN OUTCOME MEASURE(S): Outcomes of interest included the impact of a septum on underlying fertility, live birth, clinical pregnancy, and obstetrical outcomes.
RESULT(S): The literature search identified relevant studies to inform the evidence for this guideline.
CONCLUSION(S): The treatment of uterine septa and subsequent outcomes associated with infertility, recurrent pregnancy loss, and adverse obstetrical outcomes are summarized. Resection of a septum has been shown to improve outcomes in patients with recurrent pregnancy loss and to decrease the likelihood of malpresentation. In the setting of infertility, it is recommended to use a shared decision-making model after appropriate counseling to determine whether or not to proceed with septum resection.
提供有关子宫中隔诊断和手术治疗效果的循证建议。
本指南提供了有关子宫中隔诊断和手术治疗效果的循证建议。本指南取代了同名指南的上一版本（Fertil Steril. 2016 Sep 1;106(3):530-40）。
感兴趣的结局包括中隔对潜在生育力、活产、临床妊娠和产科结局的影响。
文献检索确定了相关研究，为指南提供了证据。
总结了子宫中隔的治疗及其与不孕、复发性妊娠丢失和不良产科结局相关的后续结局。切除中隔已被证明可以改善复发性妊娠丢失患者的结局，并降低胎位不正的可能性。在不孕的情况下，建议在适当咨询后使用共同决策模型，以确定是否进行中隔切除术。
