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子宫中隔易引起反复自然流产和多种产科并发症,但因无症状,诊断存在一定困难,在患者常出现晚期流产,早产或难产的异常先露而行剖腹术及子宫切开术时才得以明确诊断,手术干预虽然改善了产科预后,但也有一定的危害。现在随着外科技术的进步,内窥镜治疗子宫中隔因其损伤性小和住院时间短而得到各方认同,较剖腹行子宫成形术具有明显的优势。 回顾性分析了63例宫腔镜下行子宫中隔成形术,平均年龄33.5(24～44)岁,共有146次妊娠,其中13例活产儿,包括9例早产儿与4例足月产儿,2
Uterine septum can cause repeated spontaneous abortion and a variety of obstetric complications, but due to asymptomatic, there are some difficulties in the diagnosis, often in patients with advanced abortion, abnormalities of premature birth or dystocia exposed cesarean section and hysterectomy To confirm the diagnosis, surgical intervention, although improving the prognosis of obstetrics, but there are also some hazards. Now with the progress of surgical techniques, endoscopic treatment of uterine septum because of its small injury and hospitalization were recognized by all parties, compared with cesarean section hysterectomy has obvious advantages. A retrospective analysis of 63 cases of hysteroscopic dessecting uterus septoplasty with a mean age of 33.5 (24-44) years with a total of 146 pregnancies, of which 13 were live, including 9 preterm infants and 4 full-term infants, 2