CAJ | 학술논문

目的探讨宫腔镜下子宫纵隔切除术，对子宫纵隔引起的不孕、早产、自然流产的影响。方法对65例因子宫纵隔引起的不孕、自然流产，要求生育的住院患者，行宫腔镜下子宫纵隔切除术，并进行至少12个月的随访，以了解患者术后的妊娠几率、早产率、自然流产率、依旧不孕的发生率；及12个月的随访期限与总体随访期限的妊娠几率、早产率、自然流产率的对比。结果65例患者均进行手术，手术成功。术后的妊娠几率由原来的58.46%（38/65）上升到88.14%（52/59），足月产率由3.08%（2/65）上升到66.10%（39/59），早产率由10.77%（7/65）下降到3.39%（2/59），不孕率由41.54%（27/65）下降到11.86%（7/59），自然流产率由47.69%（31/65）下降到18.64%（11/59）。随访12个月的足月产率为55.93%（33/59），早产率为3.39%（2/59），自然流产率为6.78%（4/59）；总体随访时间的足月产率为66.10%（39/59），早产率为3.39%（2/59），自然流产率为18.64%（11/59）。结论宫腔镜下子宫纵隔切除术能够提高患者妊娠几率，改善患者妊娠结局。
목적탐토궁강경하자궁종격절제술，대자궁종격인기적불잉、조산、자연유산적영향。방법대65례인자궁종격인기적불잉、자연유산，요구생육적주원환자，행궁강경하자궁종격절제술，병진행지소12개월적수방，이료해환자술후적임신궤솔、조산솔、자연유산솔、의구불잉적발생솔；급12개월적수방기한여총체수방기한적임신궤솔、조산솔、자연유산솔적대비。결과65례환자균진행수술，수술성공。술후적임신궤솔유원래적58.46%（38/65）상승도88.14%（52/59），족월산솔유3.08%（2/65）상승도66.10%（39/59），조산솔유10.77%（7/65）하강도3.39%（2/59），불잉솔유41.54%（27/65）하강도11.86%（7/59），자연유산솔유47.69%（31/65）하강도18.64%（11/59）。수방12개월적족월산솔위55.93%（33/59），조산솔위3.39%（2/59），자연유산솔위6.78%（4/59）；총체수방시간적족월산솔위66.10%（39/59），조산솔위3.39%（2/59），자연유산솔위18.64%（11/59）。결론궁강경하자궁종격절제술능구제고환자임신궤솔，개선환자임신결국。
Objective To evaluate prospectively the effect of hysteroscopic septoplasty as therapy for uterine septum,as a sole cause for infertility,preterm-delivery and abortion.Methods In a prospective comparative study,we enrolled 65 productive failure women with uterine septum,hysteroscopic septoplasty was performed. After operation,the patients were followed-up at least 12 months.Then,we got the pregnancy rate,and compared them.Resutls 65 patients were performed hysteroscopic septoplasty,and the operations were successful.After operation,the pregnance rate increased from 58.46%(38/65) to 88.14%(52/59),the term-delivery rate increased from 3.08%(2/65) to 66.10%(39/59),the preterm-delivery rate decreased from 10.77%(7/65) to 3.39%(2/59),the infertility rate decreased from 41.54%(27/65) to 11.86%(7/59),the abortion rate decreased from 47.69%(31/65) to 18.64%(11/59).In the 12 months follow-up period,the term-delivery rate was 55.93%(33/59),the preterm-delivery rate was 3.39%(2/59),the abortion rate was 6.78%(4/59).In the whole follow-up period,the term-delivery rate was 66.10%(39/59),the preterm-delivery rate was 3.39%(2/59),the abortion rate was 18.64%(11/59).Conclusion Hysteroscopic septoplasty can raise pregnant rate and improve reproductive outcome.