子宫纵隔的诊治现状及研究进展  

Clinical Progress of Diagnosis and Treatment of Septate Uterus

作　　者：张红洋[1] 王素敏[2] 

机构地区：[1]南京医科大学第四临床医学院,南京210000 [2]南京医科大学附属南京妇幼保健院腔镜科,南京210004

出　　处：《医学综述》2013年第14期2588-2591,共4页Medical Recapitulate

摘　　要：子宫纵隔是女性生殖道畸形中最常见的类型,目前诊断子宫纵隔的辅助检查有子宫输卵管碘油造影、磁共振成像、虚拟子宫输卵管造影、宫腔镜联合腹腔镜检查等,以宫、腹腔镜联合为诊断子宫纵隔的金标准。子宫纵隔的矫治方式较多,目前认为宫腔镜下子宫纵隔去除术是其治疗的标准术式,手术不仅安全有效,而且明显改善了患者的生殖预后,术后并发症发生也较少。但在监护方式、研究设计以及远期预后方面还要进行更深入和细致的探讨。Septate uterus is the most common type of female genital tract malformation.At present,the diagnosis techniques of septate uterus include hysterosalpingography,magnetic resonance imaging,virtual hysterosalpingography,combined hysteroscopy-laparoscopy examinations,etc.,and combined hysteroscopylaparoscopy examinations is the gold standard for the diagnosis.Uterine septoplasty include several ways,while the standard operation is transcervical resection of septa.Hysteroscopic septoplasty is a safe and effective operative treatment resulting in an ameliorative reproductive outcome and less postoperative complications.In the future,more in-depth and detailed studies is needed for the monitoring mode,research design and long term prognosis.

关 键 词：子宫纵隔 子宫发育异常 宫腔镜 

分 类 号：R711.1[医药卫生—妇产科学]