腹腔镜监视下宫腔镜电切术治疗子宫纵隔效果分析

目的 探讨腹腔镜监视下宫腔镜电切术在治疗子宫纵隔中的作用. 方法 回顾性分析41例子宫纵隔应用宫腹腔镜联合诊断及手术切除的效果. 结果 41例子宫纵隔均一次性成功地切除,无一例发生并发症.术后妊娠34例,分娩33例,妊娠率85.7%,足月分娩率81.0%. 结论 腹腔镜监视下宫腔镜电切术将两种微创手术的优势相互结合,尤其适合复杂子宫畸形及合并盆腔病变者的治疗.此术式可以明显提高术后妊娠率及足月分娩率,有效避免并发症的发生.

Analysis of treatment about 41 cases of uterine septa applied with combined hysteroscopy and laparoscopy

Objective To evaluate the value of combined Laparoscopy and Hysteroscopy in the treatment of uterine septum. Methods Retrospective analysis the effects of 41 cases of Uterine Septum which treated with transcervical resection a combined with Laparoscopy. Results 41 cases of Uterine Septum are resected one-time success ,there are no complication.34 cases have pregnancy after the surgery ,33 cases labored.Pregnancy rate 82.9%,Term delivery rate 80.5%. Conclusions Combined Laparoscopy and Hysteroscopy in the treatment of uterine septum is a effective therapy,especially for complex uterine malformation and the cases combined with pelvic lesions.This approach significantly improve the success rate and reduce complications.