摘要
1985年1月至1991半1月6年间,本科共诊治纵隔子宫伴不孕者29例,由宫腔镜诊断19例,腹腔镜诊断27例(包括前者17例)。并取连续硬膜外麻醉在腹腔镜监护下,经阴道行子宫纵隔剪开术23例。经1～6年随访,有17例妊娠分娩活婴,其余6例不孕者伴有其它不孕因素(子宫内膜异位症5例,子宫内膜增殖症1例),因此纠正妊娠活婴率达100%。通过临床资料分析,本文认为:如妇检有阴道纵隔、外貌相连之双宫颈、子宫形态有变异者,均应怀疑纵隔子宫。借助宫腔镜及腹腔镜可明确诊断。在腹腔镜监护下行子宫整形术,不但可以监护宫腔内操作,又可发现其它不孕因素。
During the 6 years from January 1985 to January 1991,we treated 29 cases of septate uterus complicated with infertility, of which 19 cases were diagnosed by hysteroscopy and 27 by laparoscopy (including 17 cases also by hysteroscopy). Septate incisions through vagina monitored by laparoscope were performed on 23 patients under continuous epidural anesthesia. After 1 to 6 years' follow—up, there were 17 patients who were pregnant and delivered live babies. The other 4 sterile women were all complicated with other sterility-related factors, including 5 with endometriosis and 1 with endometrial prollferation,thusthe living baby rate of corrected pregnancy was 100%. According to the analysis of clinical data, Oursuggestion was that septate uterus should be suspected if pelvic examinations showed the signs of septatevagina, duplicated cervix and abnormal uterine contour. Septate uterus can be verified with the help of hysteroscope and laparoscope. To perform metroplas- tic operations monitored by laparoscope, we can notonly supervise the operations in uterine cavity,but also discover other factors related to infertility.
出处
《中国实用妇科与产科杂志》
CAS
CSCD
1994年第1期25-26,共2页
Chinese Journal of Practical Gynecology and Obstetrics
关键词
纵隔子宫
剪开术
不育症
内窥镜
Septate uterus Infertility Hysteroscope Laparoscope Incision of uterine septum
