纵隔子宫的治疗  

Treatment of septate uterus

作　　者：张白玉 伍苏苏 赵行平 谭琳 徐大宝[2] ZHANG Baiyu;WU Susu;ZHAO Xingping;TAN Lin;XU Dabao(Jiangwan Research Institute,Central South University,Changsha Jiangwan Maternity Hospital,Changsha 410008;Department of Gynecology,Third Xiangya Hospital,Central South University,Changsha 410013,China)

机构地区：[1]中南大学江湾研究院,长沙江湾妇产医院,长沙410008 [2]中南大学湘雅三医院妇科,长沙410013

出　　处：《中南大学学报（医学版）》2022年第11期1487-1494,共8页Journal of Central South University ：Medical Science

基　　金：This work was supported by the National Key Research and Development Program of China(2018YFC1004800).

摘　　要：纵膈子宫与不孕症之间的联系尚不明确。目前许多研究对诊断为不孕症的妇女进行子宫纵隔切开,并评估了其对妊娠的后续影响。宫腔镜子宫成形术能显著改善纵隔子宫的生育力。部分苗勒氏畸形可以通过手术治愈,准确的诊断和选择最佳的治疗技术是成功治疗的基础。所有纠正子宫异常的手术都应以保留或改善生育力为目的。在先天性子宫异常中,纵隔子宫最适合采用宫腔镜治疗。纵隔切开逐渐成为全世界的治疗标准。Although there is insufficient evidence supporting the link between septate uterus and infertility,there are many studies demonstrated the effect of spetal incision on pregnancy in women diagnosed with septate uterus associated with infertility.Hysteroscopic metroplasty can significantly improve the reproductive performance of those with septate uterus.Some Müllerian malformations can be healed by surgery.The accurate diagnosis and appropriate therapeutic approch are fundamental for successful treatment.Any attempt at surgical correction of uterine abnormalities must be aimed at preserving or improving reproductive function.Among congenital uterine anomalies,septate uterus is the most amenable to simple hysteroscopic treatment.The resection of the septum is performed as standard treatment worldwide.

关 键 词：纵隔子宫 子宫成形术 宫腔镜 

分 类 号：R711.74[医药卫生—妇产科学]