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[手术宫腔镜治疗纵隔子宫:系统治疗还是选择性指征]

[Surgical hysteroscopy in the treatment of septate uterus: systemic treatment or selective indications].

作者信息

Blanc B, Cravello L, Porcu G, D'Ercole C, Roger V

机构信息

Hôpital de la Conception, Marseille.

出版信息

Bull Acad Natl Med. 1998;182(2):251-60; discussion 261.

PMID:9648341
Abstract

OBJECTIVES

A retrospective study to evaluate the fertility rate after endoscopic hysteroplasty in the case of a septate uterus.

METHOD

From 1st January 1988-31st December 1996, 93 patients showing a septate uterus were treated by endoscopic hysteroplasty. The hospitalisation is short: one day surgery or out office. A control of uterine cavity by hysteroscopy did next to two months.

RESULTS

Patients were evaluated after a period in excess of 6 months (6 months-8 years). 63 pregnancies were achieved amongst the 84 patients to be reviewed (75%). The fertility rate achieved is higher amongst infertile patients (80.3%) compared with that of sterile patients (64%).

CONCLUSION

In the presence of septate uterus the endoscopic hysteroplasty is an efficient treatment in the case of secondary infertility and of unexplained sterility.

摘要

目的

一项回顾性研究,以评估纵隔子宫患者接受宫腔镜子宫成形术后的生育率。

方法

1988年1月1日至1996年12月31日,93例纵隔子宫患者接受了宫腔镜子宫成形术治疗。住院时间短:一天手术或门诊手术。术后近两个月通过宫腔镜检查对子宫腔进行检查。

结果

对患者进行了超过6个月(6个月至8年)的随访评估。在84例接受复查的患者中,有63例成功妊娠(75%)。与不育患者(64%)相比,不孕患者的生育率更高(80.3%)。

结论

对于纵隔子宫患者,宫腔镜子宫成形术是治疗继发性不孕和不明原因不育的有效方法。

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[Surgical hysteroscopy in the treatment of septate uterus: systemic treatment or selective indications].[手术宫腔镜治疗纵隔子宫:系统治疗还是选择性指征]
Bull Acad Natl Med. 1998;182(2):251-60; discussion 261.
2
Hysteroscopic resection of the septum improves the pregnancy rate of women with unexplained infertility: a prospective controlled trial.宫腔镜下纵隔切除术可提高不明原因不孕症女性的妊娠率:一项前瞻性对照试验。
Fertil Steril. 2009 Jun;91(6):2628-31. doi: 10.1016/j.fertnstert.2008.04.011. Epub 2008 Jun 20.
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Office hysteroscopic metroplasty: three "diagnostic criteria" to differentiate between septate and bicornuate uteri.门诊宫腔镜子宫成形术:区分纵隔子宫和双角子宫的三个“诊断标准”。
J Minim Invasive Gynecol. 2007 May-Jun;14(3):324-8. doi: 10.1016/j.jmig.2006.11.010.
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[Hysteroscopic surgery and fertility].[宫腔镜手术与生育能力]
Contracept Fertil Sex. 1998 Jul-Aug;26(7-8):589-92.
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[Hysteroscopic treatment of uterine synechias. A report of 102 cases].[宫腔镜治疗子宫粘连。102例报告]
J Gynecol Obstet Biol Reprod (Paris). 1996;25(1):33-40.
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Hysteroscopy in the evaluation of habitual abortions.宫腔镜检查在习惯性流产评估中的应用
Eur J Contracept Reprod Health Care. 2008 Jun;13(2):198-200. doi: 10.1080/13625180801920032.
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Reproductive outcome of septate uterus after hysteroscopic metroplasty.宫腔镜子宫纵隔切除术治疗纵隔子宫后的生殖结局
Arch Gynecol Obstet. 2003 Oct;268(4):289-92. doi: 10.1007/s00404-002-0378-4. Epub 2002 Aug 29.
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[Hysteroscopy in septate uterus. Diagnostic and therapeutic features].[纵隔子宫的宫腔镜检查。诊断和治疗特点]
Minerva Ginecol. 1995 May;47(5):173-7.
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[Indications for operative hysteroscopy. A series of 418 interventions].[宫腔镜手术适应症。418例手术系列报道]
Rev Fr Gynecol Obstet. 1992 May;87(5):243-7.
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Hysteroscopic treatment of the uterine septum: a clinician's experience.子宫纵隔的宫腔镜治疗:一位临床医生的经验
Am J Obstet Gynecol. 2000 Jun;182(6):1414-20. doi: 10.1067/mob.2000.106130.

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Reproductive outcome after IVF following hysteroscopic division of incomplete uterine septum/arcuate uterine anomaly in women with primary infertility.原发性不孕女性宫腔镜下不完全子宫纵隔/弓形子宫畸形矫治术后体外受精的生殖结局
Facts Views Vis Obgyn. 2014;6(4):194-202.