Goldenberg M, Sivan E, Sharabi Z, Bider D, Rabinovici J, Seidman D S
Department of Obstetrics and Gynecology, Chaim Sheba Medical Center, Tel Hashomer, Israel.
Fertil Steril. 1995 Oct;64(4):714-6. doi: 10.1016/s0015-0282(16)57844-3.
To examine the reproductive outcome after operative hysteroscopic resection of submucous myomas in women for whom no other infertility factor was identified.
Fifteen infertile women with submucous myomas underwent an intensive workup to exclude other causes of infertility. Operative hysteroscopy for resection of the submucous myomas was performed using a rigid 26 French resectoscope (Karl Storz GmbH & Co., Tuttlingen, Germany).
Academic tertiary referral center.
The mean +/- SD duration of the procedure was 25.5 +/- 5.6 minutes. No operative or postoperative complications occurred and all patients were discharged within 6 hours. The follow-up period was 12.0 +/- 4.2 months (mean +/- SD). Seven women conceived (pregnancy rate of 47%) and six of them subsequently delivered at term.
The results of this study indicate that operative hysteroscopy achieved a pregnancy rate comparable to myomectomy via laparotomy. These results suggest that operative hysteroscopy is the procedure of choice for the resection of submucous myomas in infertile women.
研究在未发现其他不孕因素的女性中，经宫腔镜手术切除黏膜下肌瘤后的生殖结局。
15例患有黏膜下肌瘤的不孕女性接受了全面检查以排除其他不孕原因。使用26法式硬式电切镜（德国图特林根卡尔史托斯有限公司）进行宫腔镜手术切除黏膜下肌瘤。
学术性三级转诊中心。
手术平均时长为25.5±5.6分钟（均值±标准差）。未发生手术或术后并发症，所有患者均在6小时内出院。随访期为12.0±4.2个月（均值±标准差）。7名女性受孕（妊娠率为47%），其中6名随后足月分娩。
本研究结果表明，宫腔镜手术的妊娠率与经腹子宫肌瘤切除术相当。这些结果提示，宫腔镜手术是不孕女性黏膜下肌瘤切除术的首选术式。
