CAJ | 학술논문

目的探讨宫腔镜电切治疗子宫纵隔对妊娠情况、妊娠结局的影响.方法选择郑州市妇幼保健院2004年2月至2012年6月宫腔镜确诊为子宫纵隔有生育要求的103例患者,观察组(53例)进行B超下或腹腔镜下宫腔镜纵隔电切术治疗,对照组(50例)患者自愿未进行治疗,对两组妊娠情况、妊娠结局进行回顾性分析.结果观察组患者的妊娠率较对照组明显增加,且流产率、早产率、不孕率均明显降低,两组比较差异有统计学意义(P＜0.05);观察组中不全子宫纵隔电切术后妊娠率较完全子宫纵隔电切术后妊娠率明显增高,但早产率、流产率及不孕率明显降低,两组比较差异有统计学意义(P＜0.05);对照组中完全子宫纵隔与不全子宫纵隔对妊娠率及早产率的影响差异无统计学意义(P＞0.05);完全子宫纵隔的流产率及不孕率较不全子宫纵隔增加,两组比较差异有统计学意义(P＜0.05).结论宫腔镜电切子宫纵隔能有效的提高妊娠成功率,改善妊娠结局,是值得推广的一种安全有效的治疗方法.
목적 탐토궁강경전절치료자궁종격대임신정황、임신결국적영향.방법 선택정주시부유보건원2004년2월지2012년6월궁강경학진위자궁종격유생육요구적103례환자,관찰조(53례)진행B초하혹복강경하궁강경종격전절술치료,대조조(50례)환자자원미진행치료,대량조임신정황、임신결국진행회고성분석.결과 관찰조환자적임신솔교대조조명현증가,차유산솔、조산솔、불잉솔균명현강저,량조비교차이유통계학의의(P＜0.05);관찰조중불전자궁종격전절술후임신솔교완전자궁종격전절술후임신솔명현증고,단조산솔、유산솔급불잉솔명현강저,량조비교차이유통계학의의(P＜0.05);대조조중완전자궁종격여불전자궁종격대임신솔급조산솔적영향차이무통계학의의(P＞0.05);완전자궁종격적유산솔급불잉솔교불전자궁종격증가,량조비교차이유통계학의의(P＜0.05).결론 궁강경전절자궁종격능유효적제고임신성공솔,개선임신결국,시치득추엄적일충안전유효적치료방법.
Objective To investigate the effect of hysteroscopic treatment of uterine mediastinum on women's pregnancy outcome.Methods One hundred and three patients with uterus mediastinum who were diagnosed by hysteroscopy from February 2004 to June 2012 were selected.Fifty-three patients in observation group were treated by hysteroscopic mediastinum electricity cut under ultrasound or laparoscopy,fifty patients in control group were not given treatment.The pregnancies and pregnancy outcomes of the two groups were retrospectively analyzed.Results The pregnancy rate in observation group was much higher than that in control group.The rate of abortion,preterm birth and infertility were significantly lower than those in the control group,the differences were significant between the two groups(P ＜ 0.05).The pregnancy rate of patients with insufficiency mediastinal was higher than that of patients with completely mediastinum during the observation group after receiving hysteroscopic electrical cutting treatment.The rate of abortion,preterm birth and infertility of patients with insufficiency mediastinal was significantly lower than that of patients with completely mediastinum after receiving the treatment,the difference was significant between the two groups(P ＜0.05).In the control group,there were no significant differences between the insufficiency mediastinal and the completely mediastinum in the rates of pregnancy and preterm birth(P ＞0.05).But the rate of abortion and infertility of patients with insufficiency mediastinum was significantly lower than that of patients with completely mediastinum,the difference was significant between the two groups (P ＜ 0.05).Conclusions The treatment of hysteroscopic electrical cutting uterine mediastinum can effectively improve the pregnancy rate and pregnancy outcomes,it is a safe and effective method and worth promoting.