Rochet Y, Dargent D, Bremond A, Priou G, Rudigoz R C
J Gynecol Obstet Biol Reprod (Paris). 1979;8(8):723-6.
The authors undertake to show that the obstetric future of women who have been operated on for uterine synechiae is not as poor as would appear from previous publications. 59 p. 100 of 75 women who wanted to become pregnant did so and 46 p. 100 went on to have at least one living child. If one only takes into account those women who were able to be followed up, 71 p. 100 became pregnant and 55 p. 100 had pregnancies with a viable child. When women with only uterine synechiae and without an associated lesion were considered, 81 p. 100 of them became pregnant and 67 p. 100 had a viable child. From this it is important to screen for an associated lesion by laparoscopy. The authors also write about the value of hysteroscopy carried out to find synechiae more easily and to control the treatment.
作者们试图表明,接受过子宫粘连手术的女性的产科前景并不像之前出版物所显示的那么糟糕。75名想要怀孕的女性中,59%成功怀孕,46%至少生育了一个存活的孩子。如果只考虑那些能够被随访的女性,71%成功怀孕,55%的妊娠有存活胎儿。当仅考虑只有子宫粘连且无相关病变的女性时,81%成功怀孕,67%有存活胎儿。由此可见,通过腹腔镜检查筛查相关病变很重要。作者们还阐述了宫腔镜检查在更易发现粘连及控制治疗方面的价值。