Colacurci N, De Placido G, Perino A, Mencaglia L, Gubbini G
Institute of Gynecology and Obstetrics, Second University of Naples, Italy.
J Am Assoc Gynecol Laparosc. 1998 May;5(2):171-4. doi: 10.1016/s1074-3804(98)80085-6.
To evaluate 10 years' experience with hysteroscopic treatment of septate uterus in Italy.
Multicenter retrospective study conducted from January 1988 to March 1997 (Canadian Task Force classification II-2).
Twelve Italian centers for minimally invasive therapy.
Women (total 973) with hysteroscopically diagnosed septate uterus.
Hysteroscopic metroplasty performed with scissors, resectoscope, or neodymium:yttrium-aluminum-garnet laser.
Data on indications for hysteroscopic metroplasty, details of patient management from pretreatment to follow-up, and pregnancy course and delivery were collected by questionnaire. Main indications were two or more abortions and primary infertility. Most procedures were performed with the resectoscope, followed by scissors and laser. Few minor complications occurred. Pregnancy rates were good.
Hysteroscopy is safe and effective treatment of septate uterus in terms of both pregnancy rate and outcome.
评估意大利10年来宫腔镜治疗纵隔子宫的经验。
1988年1月至1997年3月进行的多中心回顾性研究（加拿大工作组分类II-2）。
意大利12个微创治疗中心。
经宫腔镜诊断为纵隔子宫的女性（共973例）。
用剪刀、电切镜或钕:钇铝石榴石激光进行宫腔镜子宫成形术。
通过问卷调查收集宫腔镜子宫成形术的指征、患者从预处理到随访的详细管理情况以及妊娠过程和分娩情况的数据。主要指征是两次或更多次流产和原发性不孕。大多数手术采用电切镜进行，其次是剪刀和激光。发生了一些轻微并发症。妊娠率良好。
就妊娠率和结局而言，宫腔镜是治疗纵隔子宫的安全有效的方法。
