浙江医学Issue(24)：2000-2002,2051,4.
宫腔粘连患者宫腔镜治疗的生殖预后分析
Reproductive outcomes after hysteroscopic resection of intrauterine adhesions
摘要
Abstract
Objective To evaluate reproductive outcomes after hysteroscopic resection of intrauterine adhesions. Meth-ods The reproductive outcomes of 68 patients with intrauterine adhesions who underwent hysteroscopic adhesiolysis were ret-rospectively analyzed. The factors related to pregnancy outcome were analyzed, including the type, area, degree of adhesion, postoperative resumption of menstruation, IUD usage, artificial menstrual cycle and fol ow- up time. Results Forty five preg-nancies were achieved in 68 patients (66.2%), including 42 childbirths, 5 spontaneous abortions and 1 tubal ectopic pregnancy. Forty two viable infants were delivered in 41 cases (61.8%), including 1 case of premature delivery in 34 pregnancy weeks, 5 abnormal fetal position, 1 intrahepatic cholestasis, 3 threatened abortion accompanied with placenta adhesions;and the rate of cesarean section is 73.8%(31/42). The pregnancy outcome was associated with resumption of menstruation and postoperative time(P<0.05). Conclusion The results suggest that resumption of menstruation and pregnancy within 1 year after hysteroscopic adhesiolysis are important to acquire favorable pregnancy outcome for patients with intrauterine adhesions.关键词
宫腔粘连/宫腔镜电切术/生殖预后Key words
Intrauterine adhesions/Hysteroscopic adhesiolysis/Reproductive outcome引用本文复制引用
陈志文,龚丽华,施铮铮,朱华,杨孝军..宫腔粘连患者宫腔镜治疗的生殖预后分析[J].浙江医学,2014,(24):2000-2002,2051,4.基金项目
温州市科技局基金资助项目 （）
