Tantini C, Tiso E, Ayub A V, Vizioli C B
Institute of Gynaecology and Obstetrics, University of Florence, Italy.
Acta Eur Fertil. 1994 Sep-Oct;25(5):299-301.
Septate uterus is the intracavitary pathology which is most associated with infertility and/or preterm labor; therefore, it is primary indication for hysteroscopic metroplasty. By the introductio of the resectoscope in gynaecological endoscopy the surgical technique has been revolutioned. GnRHa therapy before surgery has showed some advantages related to surgical results, surgery time, intraoperative bleeding and endometrial detachment, and amount of fluids used for uterine cavity distention. The treatment before hysteroscopic metroplasty for partial septus has not influenced positive results, while for uterine septus that reached the inferior third of the cavity or moreover, it provided better condition for this procedure.
纵隔子宫是最常与不孕和/或早产相关的腔内病变;因此,它是宫腔镜子宫成形术的主要适应症。随着妇科内窥镜中电切镜的引入,手术技术发生了变革。术前使用促性腺激素释放激素激动剂(GnRHa)治疗在手术效果、手术时间、术中出血、子宫内膜剥脱以及宫腔扩张所用液体量等方面显示出一些优势。宫腔镜子宫成形术前针对部分纵隔的治疗并不影响阳性结果,而对于延伸至宫腔下三分之一及以下的子宫纵隔,它为此手术提供了更好的条件。