Kusuda M
Acta Obstet Gynecol Scand. 1982;61(5):407-12. doi: 10.3109/00016348209156581.
Various techniques of metroplasty were performed in 32 cases of double uterus. In these patients the fetal survival rate before the operation was nil, whereas post-operatively it reached as high as 92.6%. Strassmann's operation was carried out in 16 cases, Jones & Jones's modified method in 12 cases and Tompkins's operation in 4 cases. The merits and demerits and the applicability of each technique and the various types of uterine malformation are discussed. It is concluded that a correct diagnosis of uterine malformation can only be established by a combination of precise HSG with direct macroscopical observation of uterine body. The Strassmann transverse incision is well suited for a bicornuate uterus, and Jones & Jones's wedge-shaped fundal resection for a partial septate uterus. The postoperative deformation in the fundus uteri is most frequently seen after the application of Strassmann's method, and is much less common with the modified method of Jones & Jones. Metroplasty can be applied in such cases of uterine malformation as when primary sterility is complained of but where any other cause for sterility is ruled out or is deemed to be corrected. Maximum care should be taken to prevent postoperative adhesion. Three months is considered to be a sufficient period for postoperative contraception. The mode of delivery depends on the individual case, though cesarean section is recommended.
对32例双子宫患者实施了各种子宫成形术。这些患者术前胎儿存活率为零，而术后高达92.6%。16例行施特拉斯曼手术，12例行琼斯改良法，4例行汤普金斯手术。讨论了每种技术的优缺点及适用性以及各种类型的子宫畸形。得出结论，只有通过精确的子宫输卵管造影（HSG）与子宫体的直接肉眼观察相结合，才能对子宫畸形做出正确诊断。施特拉斯曼横切口非常适合双角子宫，琼斯楔形宫底切除术适合部分纵隔子宫。施特拉斯曼法术后最常出现子宫底部变形，而琼斯改良法则少见得多。子宫成形术可用于主诉原发性不孕但排除或认为已纠正任何其他不孕原因的子宫畸形病例。应极其小心地防止术后粘连。术后避孕3个月被认为是足够的时间。分娩方式取决于个体情况，不过建议剖宫产。
