Khalifa E, Toner J P, Jones H W
Jones Institute for Reproductive Medicine, Department of Obstetrics and Gynecology, Eastern Virginia Medical School, Norfolk 23507.
Surg Gynecol Obstet. 1993 Mar;176(3):208-12.
The current retrospective study was undertaken at a tertiary care academic reproductive medical center to evaluate the role of abdominal metroplasty (Jones or Strassman techniques) in patients with bicornuate uteri, T-shaped uteri and septate uteri when associated with other pelvic lesions not amenable to the transcervical approach. Fifteen patients with double uterus (13 septate and two bicornuate) and three with T-shaped uterine cavities after diethylstilbestrol exposure underwent abdominal metroplasty (Jones or Strassman techniques) for the repair of the uterus during the period August 1983 through August 1991. Patients with septate uteri had other pelvic lesions as well. Thirteen of 16 patients attempting pregnancy conceived and delivered postoperatively. The fetal wastage rate decreased from 87.9 percent before metroplasty to 9.1 percent after metroplasty. Abdominal metroplasty (Jones or Strassman techniques) continues to yield gratifying results in patients with bicornuate, T-shaped and septate uteri. When patients have additional pelvic lesions not amenable to the transcervical approach alone, it may be appropriate to use conventional abdominal metroplasty. For the bicornuate condition, this remains the only approach.
本回顾性研究在一家三级医疗学术性生殖医学中心开展，旨在评估腹部子宫成形术（琼斯或施特拉斯曼技术）在双角子宫、T形子宫和纵隔子宫患者中，当合并其他无法通过经宫颈途径治疗的盆腔病变时的作用。1983年8月至1991年8月期间，15例双子宫患者（13例纵隔子宫和2例双角子宫）以及3例己烯雌酚暴露后出现T形子宫腔的患者接受了腹部子宫成形术（琼斯或施特拉斯曼技术）以修复子宫。纵隔子宫患者也合并有其他盆腔病变。16例尝试妊娠的患者中有13例术后受孕并分娩。胎儿丢失率从子宫成形术前的87.9%降至术后的9.1%。腹部子宫成形术（琼斯或施特拉斯曼技术）在双角子宫、T形子宫和纵隔子宫患者中继续产生令人满意的结果。当患者合并有其他无法单独通过经宫颈途径治疗的盆腔病变时，使用传统的腹部子宫成形术可能是合适的。对于双角子宫情况，这仍然是唯一的方法。
