2013年ESHRE/ESGE关于纵隔子宫分类共识的临床实践解读

纵隔子宫是最常见的女性先天性生殖道畸形,2013年欧洲人类生殖与胚胎学会(ESHRE)/欧洲妇科内镜协会(ESGE)通过专家共识对女性生殖道畸形重新分类,随之中文翻译版和解读版亦相继发表.但是在此共识中,关于纵隔子宫的分类更新对中国大陆地区纵隔子宫的诊断和治疗临床实践的影响尚没有具体的解读,本文重点对此进行解读.新的分类系统对宫底部向宫腔内凸出的纵隔长度及宫底部外形向宫腔内凹陷的深度进行量化,便于纵隔子宫的诊断和鉴别诊断,同时也为手术切除纵隔或子宫矫形提供了清晰的标准.

The Clinical Practice Interpretation of ESHRE/ESGE 2013 about the Classification of Septate Uterus

Septate uterus is the most common congenital malformation of the female genital tract. In 2013, ESHRE/ESGE reclassified the female genital tract deformity through expert consensus, after that the translation and interpretation of Chinese version also published. However, there is no published articles analyzed the impact of this updated classification consensus on clinical practice about the diagnosis and treatment of septate uterus in mainland China. The present article aims to focus on these issues. By quantifying the depths of the septum which protrudes into the uterine cavity and an external fundal indentation to cavity, the new classification system helps diagnosis and differential diagnosis of septate uterus. At the same time, it provides a clear standard for surgical resection of the septum or metroplasty.