Pace S, Figliolini M, Stentella P, Grassi A, Labi F L, Ferrero S
II Clinica Ostetrica e Ginecologica, Università degli Studi di Roma, La Sapienza.
Minerva Ginecol. 1995 May;47(5):173-7.
Personal experience of diagnostic and operative hysteroscopy of septate uterus is reported. The diagnosis of septate uterus is an integrated diagnosis that makes use of hysterosalpingography, echography, hysteroscopy and laparoscopy. Of 545 hysteroscopies carried out between January and December 1993, 29 evidenced uterine septum, complete in 6 cases, incomplete in the remaining 23. Of the 29 patients, 7 underwent resection of the septum by the hysteroscopic route. No intra or postoperative complications worthy of note were observed. At follow-up after one month, the uterine cavity in 5 patients proved completely regular while in the remaining 2 one case of fundic fibrous synechia and one of small persistent fibrous bridge, of little importance within the context of the cavity, were observed. The purpose of the present paper is to demonstrate the twofold role of hysteroscopy with regard to the septate uterus; is that hysteroscopy is a diagnostic and a precise operative technique that is atraumatic, fast and of low cost.
本文报告了对纵隔子宫进行诊断性和手术性宫腔镜检查的个人经验。纵隔子宫的诊断是一种综合诊断，需结合子宫输卵管造影、超声检查、宫腔镜检查和腹腔镜检查。在1993年1月至12月期间进行的545例宫腔镜检查中，有29例证实存在子宫纵隔，其中6例为完全纵隔，其余23例为不完全纵隔。在这29例患者中，有7例通过宫腔镜途径切除了纵隔。未观察到值得注意的术中或术后并发症。在术后1个月的随访中，5例患者的子宫腔完全恢复正常，而在其余2例中，观察到1例宫底纤维性粘连和1例小的持续性纤维桥，在子宫腔内影响不大。本文的目的是证明宫腔镜检查对纵隔子宫的双重作用；即宫腔镜检查是一种诊断性和精确的手术技术，具有无创、快速和低成本的特点。
