国际妇产科学杂志2016，Vol.43Issue(5)：597-600,4.
合并阴道纵隔双宫颈的完全中隔子宫27例临床分析
Clinical Analysis of Hysteroscopic Electroresection Treatment Combined with Laparoscopy in 27 Patients with Complete Septum Uterus Duplicated Cervix and Vaginal Septum
摘要
Abstract
Objective: To evaluate the clinical effect in patients with complete septum uterus, duplicated cervix and vaginal septum after hysteroscopic electroresection combined with laparoscopy. Methods:We retrospectively analyzed the clinical data of 27 patients with complete septum uterus, duplicated cervix and vaginal septum undergoing hysteroscopic resection combined with laparoscopy from 2012 to 2013 in Gynecological Minimal Invasive Center in Beijing Obstetrics and Gynecology Hospital Affiliated to Capital Medical University. There are primary infertility 7, nature abortion 10, missed abortion 4, abnormal childbearing history 7. Results: The success rate of surgery was 100% without intra- or post-operative complications. The duration of post-operative follow-up ranged from 30 to 53 months, with an average of (41.56±6.33) months. There are full-term delivery 18 cases, premature delivery 1, nature abortion 2, inferlity 3, induced labor due to fetal anomaly 1, lost 1, have no birth plan 3. The pregnancy rate of patients with complete uterine septum increased from 52.17% (11/23, pre-operation) to 86.96% (20/23, post-operation,χ2=6.33, P=0.01). The full-term live birth rates increased from 0 (0/23, pre-operation) to 82.61% (19/23, post-operation, P=0.000). The spontaneous abortion rates decreased from 47.83% (11/23, pre-operation) to 8.70% (2/23, post-operation,χ2=6.86, P=0.008). Conclusions:Hysteroscopic resection of uterine septum is safe and effective. For patients with complete uterine septum, hysteroscopic resection of septum combined with laparoscopy can increase the full-term live birth rate, decrease spontaneous abortion rate, and improve patients' reproductive prognosis.关键词
宫腔镜/腹腔镜/苗勒管/阴道纵隔双宫颈/完全中隔子宫Key words
Hysteroscopes/Laparoscopes/Mullerian ducts/Vaginal septum and duplicated cervix/Complete septum uterus引用本文复制引用
马晓黎,刘雨声,郭银树,段华..合并阴道纵隔双宫颈的完全中隔子宫27例临床分析[J].国际妇产科学杂志,2016,43(5):597-600,4.基金项目
国家自然科学基金（81101970）；北京市科技新星计划（Z141107001814015）；北京市医管局重点医学发展项目扬帆计划 （）
