You Position: Home > Paper
宫腹腔镜联合完全双角子宫成形术后成功分娩四例报告及文献复习
( views:354, downloads:210 )
- Author:
- No author available
- Journal Title:
- Chinese Journal of Obstetrics and Gynecology
- Issue:
- 10
- DOI:
- 10.3760/cma.j.issn.0529-567x.2015.10.010
- Key Word:
- No keyword available
Abstract： 双角子宫是1种常见的对称性子宫畸形,其发生率约占子宫畸形的13.6%[1];发生原因为在胚胎发育过程中,两个副中肾管(Müllerian duct)融合后,中段未完全吸收,形成1个子宫颈、2个宫腔,宫腔上部及宫底部呈分叉状,未吸收的隔板末端呈钝圆形.40%的双角子宫孕期可引起流产、早产[2],也可能有分娩异常或不孕等[3].双角子宫根本的治疗方法在于将2个狭窄的宫腔融合成为1个正常形态的宫腔.传统的手术方法为开腹子宫成形术(Strassman metroplasty).随着宫腹腔镜联合手术的成熟和普遍应用,首都医科大学附属复兴医院宫腔镜中心于2006年10月至2011年10月共行宫腹腔镜联合完全双角子宫成形术10例,其中4例成功分娩5次,另有3例未孕、1例因男性因素不孕、2例失访.现报道如下.
- [1]Maria, Chifan,Mihaela, T?rnovanu,Mihaela, Grigore,etc.Cervical incompetence associated with congenital uterine malformations.[J].1900,116(4).
- [2]H, Abramovici,J H, Faktor,B, Pascal.Congenital uterine malformations as indication for cervical suture (cerclage) in habitual abortion and premature delivery.[J].1983,28(3).
- [3]C.G. Zorlu,H. Yalçin,M. Uḡur,etc.Reproductive outcome after metroplasty[J].1996,55(1).
- [4]G, Zlopasa,S, Skrablin,D, Kalafati,etc.Uterine anomalies and pregnancy outcome following resectoscope metroplasty.[J].2007,98(2).
- [5]P K, Heinonen.Reproductive performance of women with uterine anomalies after abdominal or hysteroscopic metroplasty or no surgical treatment.[J].1997,4(3).
- [6]A, Golan,R, Langer,S, Wexler,etc.Cervical cerclage--its role in the pregnant anomalous uterus.[J].1900,35.
- [7]Fakhrolmolouk, Yassaee,Leila, Mostafaee.The role of cervical cerclage in pregnancy outcome in women with uterine anomaly.[J].2011,12(4).
- [8]Zolghadri J,Asadi N,Alborzi S.Laparoscopic metroplasty in bicornuate and didelphic uteri.[J].2009,92(1).
- [9]M A, Pelosi,M A, Pelosi.Laparoscopic-assisted transvaginal metroplasty for the treatment of bicornuate uterus: a case study.[J].1996,65(4).
- [10]Litta, P.,Spiller, E.,Saccardi, C.,etc.Resectoscope or Versapoint for hysteroscopic metroplasty[J].2008,101(1).
- [11]Grimbizis,G.F.,Gordts,S.,DiSpiezioSardo,A.,etc.The ESHRE/ESGE consensus on the classification of female genital tract congenital anomalies[J].2013,28(8).
- [12]Enguix DP,Grau FV,Braun P,etc.Is hysterosalpingography able to diagnose all uterine malformations correctly? A retrospective study.[J].2005,53(2).
- [13]Dimitrios E, Lolis,Minas, Paschopoulos,George, Makrydimas,etc.Reproductive outcome after strassman metroplasty in women with a bicornuate uterus.[J].2005,50(5).