Perino A, Cittadini E, Hamou J, Mencaglia L
Acta Eur Fertil. 1985 Sep-Oct;16(5):331-5.
Patients with septate uterus usually undergo reproductive failures with recurrent abortions and premature deliveries. Up till now surgical therapy for such a defect has relied on different abdominal metroplasty procedures reflecting the need to establish normal anatomy and physiology of the uterus. Nowadays, wide experience accumulated in hysteroscopic management of intrauterine adhesions, has allowed the incision of the uterine septa with the hysteroscopic technique. In this report the Authors describe the surgical technique of the hysteroscopic metroplasty in eleven cases. Initial results are encouraging: surgical outcome is good, with no intra- or postoperative morbidity; if the pregnancy outcome rate confirms these results, then the traditional abdominal surgical approach should become an out-moded therapy, so making hysteroscopic metroplasty the treatment of choice for the uterine septa.
纵隔子宫患者通常会出现反复流产和早产等生殖功能障碍。迄今为止，针对这种缺陷的手术治疗一直依赖于不同的腹部子宫成形术，这反映了建立子宫正常解剖结构和生理功能的必要性。如今，在宫腔镜治疗宫腔粘连方面积累的丰富经验，使得可以采用宫腔镜技术切开子宫纵隔。在本报告中，作者描述了11例宫腔镜子宫成形术的手术技巧。初步结果令人鼓舞：手术效果良好，术中及术后均无并发症；如果妊娠结局率能证实这些结果，那么传统的腹部手术方法将成为过时的治疗方式，从而使宫腔镜子宫成形术成为子宫纵隔的首选治疗方法。
