先天性子宫异常矫正手术对女性生育结局的影响

先天性子宫异常在女性生殖系统发育异常中最为常见,易导致不良妊娠及产科结局,对女性生理心理上造成了严重的影响.近年来,宫腔镜、腹腔镜等微创手术在纵隔子宫、双角子宫、单角子宫及残角子宫、T型子宫、苗勒管发育不良等先天性子宫异常患者矫正中的应用越来越广泛,逐渐取代了以往的传统手术,成为先天性子宫发育异常治疗的主要方法.宫腔镜...

The Effect of Corrective Surgery for Congenital Uterine Anomalies on Female Reproductive Outcomes

Congenital uterine abnormality is the most common abnormality in the female reproductive system, which easily leads to adverse pregnancy and obstetric outcomes, and has a serious impact on women′s physiology and psychology. In recent years, the application of minimally invasive surgery such as hysteroscopy and laparoscopy in the correction of uterine anomalies such as septate uterus, bicornuate uterus, unicornuate uterus and rudimentary horn uterus, T-shaped uterus, and Müllerian duct dysplasia is more and more widely, gradually replacing the traditional surgery, and become the main method for the treatment of uterine anomalies. Hysteroscopic septum resection, bicorporeal uterus hysteroplasty, laparoscopic rudimentary horn excision, hysteroscopic T-shaped hysteroplasty and even uterine transplantation are carried out to protect the reproductive function, improve the pregnancy rate and the adverse pregnancy outcome of patients with congenital uterine abnormalities. This paper reviews the latest research progress on the impact of minimally invasive corrective surgery for congenital uterine anomalies on the reproductive outcomes of female patients, and discusses whether corrective surgery for uterine anomalies can improve the fertility and pregnancy outcomes of patients with uterine abnormalities.