期刊文献+
任意字段
题名或关键词
题名
关键词
文摘
作者
第一作者
机构
刊名
分类号
参考文献
作者简介
基金资助
栏目信息

子宫完全纵隔伴宫颈纵隔剪开术后宫颈机能及妊娠结局分析 被引量：6

原文传递
导出
摘要 子宫纵隔是临床比较常见的女性生殖道畸形,易导致不孕、反复流产和早产等不良妊娠结局.纵隔自宫底到宫颈内口为完全子宫纵隔,终止于宫颈内口之上任何部位为不全子宫纵隔.完全子宫纵隔伴宫颈纵隔和阴道纵隔比较少见.为预防子宫颈机能不全,许多作者采用保留宫颈纵隔的子宫体纵隔切开术[1-2].但该术式操作较困难,有子宫穿孔和子宫内膜损伤等风险,且要求术者有较高水平的宫腔镜手术技能,术后几乎均经剖宫产分娩[1,3].浙江大学邵逸夫医院曾报道应用Metzenbaum剪刀剪开子宫颈纵隔和子宫纵隔5例,手术简单方便,无任何并发症发生[4].在此基础上我们随访完全子宫纵隔伴宫颈纵隔及阴道纵隔患者采用Metzenbaum剪刀剪开术后的妊娠结局,发现已经有6例次妊娠、4例次足月分娩,无宫颈机能不全并发症发生,现报道如下.
作者 张凌焱 黄东 张松英
机构地区 浙江大学附属邵逸夫医院妇产科
出处 《中华医学杂志》 CAS CSCD 北大核心 2013年第43期3475-3476,共2页 National Medical Journal of China
基金 浙江省卫生厅省部共建项目（N20120543） 浙江省科技厅科技计划项目（2011C13037）
关键词 子宫颈机能不全 妊娠结局分析 子宫纵隔 术后 女性生殖道畸形 不良妊娠结局 子宫内膜损伤 宫颈内口
分类号 R713.4 [医药卫生—妇产科学]
  • 相关文献

参考文献11

  • 1Wang JH,Xu KH, Lin J, et al. Hysteroscopic septum resection of complete septate uterus with cervical duplication, sparing the double cervix in patients with recurrent spontaneous abortions or infertility. Fertil Steri1,2009 ,91:2643-2649.
  • 2Rock JA, Roberts CP, Hesla JS. Hysteroscopic metroplasty of the Class Va uterus with preservation of the cervical septum. Fertil Steril, 1999,72 : 942 -945.
  • 3Patton PE, Novy M J, Lee DM, et al. The diagnosis and reproductive outcome after surgical treatment of the complete septate uterus, duplicated cervix and vaginal septum. Am J Obstet Gyneco1,2004, 19 : 1669-1675.
  • 4黄东,金晓莹,匡琳,林小娜,宋光辉,周枫,李超,竺海燕,童晓嵋,张松英.应用Metzenbaum剪刀辅助的子宫完全纵隔剪开术的临床效果[J].中华医学杂志,2010,90(17):1197-1199. 被引量：7
  • 5Ergun A, Pabuccu R, Atay V, et al. Three sisters with septate uteri : another reference to bidirectional theory. Hum Reprod, 1997,12 : 140-142.
  • 6Mollo A, De Franciscis P, Colacurci N, et al. Hysteroscopic resection of the septum improves the pregnancy rate of women with unexplained infertility: a prospective controlled trial. Fertil Steril, 2009,91:2628-2631.
  • 7Vercellini P,Ragni G,Trespidi L, et al. A modified technique for correction of the complete scptate uterus. Acta Obstet Gynecol Scand, 1994,73 : 425 -428.
  • 8Vercellini P, De Giorgi O, Cortesi l, et al. Metroplasty tot the complete septate uterus: does cervical sparing matter'? J Am Assoc Gynecol Laparosc, 1996,3:509-514.
  • 9Parsanezhad ME, Alborzi S. Hysteroscopic metroplasty : section o[ the cervical septum does not impair reproductive outcome, lnt J Gynaecol Obstet,2000,69 : 165-166.
  • 10Parsanezhad ME, Alborzi S, Zarei A, et al. Hysteroscopic metroplasty of the complete uterine septum, duplicate cervix, and vaginal septum. Fertil Steri1,2006,85 : 1473-1477.

二级参考文献9

  • 1Pellicer A.Shall we operate on Müllerian defects? An introduction to the debate.Hum Reprod,1997,12:1371-1372.
  • 2Daly DC,Tohan N,Walters C,et al.Hysteroscopic resection of the uterine septum in the presence of a septate cervix.Fertil Steril,1983,39:560-563.
  • 3Jacobsen LJ,DeCherney A.Results of conventional and hysteroscopic surgery.Hum Reprod,1997,12:1376-1381.
  • 4Cararach M,Penella J,Ubeda A,et al.Hysteroscopic incision of the septate uterus:scissors versus resectoscope.Hum Reprod,1994,9:87-89.
  • 5Ohl J,Bettahar-Lebugle K.Ultrasound-guided transcervical resection of uterine septa:7 years'experience.Ultrasound Obstet Gynecol,1996,7:328-334.
  • 6Candisni GB,Vercellini P,Fedele L,et al.Argon laser rersus microscissors for hysteroscopic incision of uterine septa.Am J Obstet Gynecol,1991,164:87-90.
  • 7Vercellini P,Ragni G,Trespidi L,et al.A modified technique for correction of the complete septate uterus.Acta Obstet Gynecol Scand,1994,73:425 -428.
  • 8Le RC,Donnadieu AC,Gervaise A,et al.Management of ten patients with complete septate uterus:hystesocopic section of and obstetrical outcomem.J Gynecol Obstet Biol Reprod,2006,35:797-803.
  • 9Sparac V,Kupesic S,Ilijas M,et al.Histologic archtitecture and vascularization of hysteroscopically excised intrauterine septa.J Am Assoc Gynecol Laparosc,2001,8:111-116.

共引文献6

同被引文献64

  • 1Rand L,Norwitz ER.Current controversies in cervical cerclage[J].Semin Perinatol,2003,27:73-85.
  • 2Slattery MM,Morrison JJ.Preterm delivery[J].Lancet,2002,360:1489-1497.
  • 3House M,Socrate S.The cervix as a biomechanical structure[J].Ultrasound Obstet Gynecol,2006,28:745-749.
  • 4SundtoftI,Sommer S,Uldbjerg N.Cervical collagen concentration within 15 months after delivery[J].Am J Obstet Gynecol,2011,205:59.e1-3.
  • 5Rechberger T,Uldbjerg N,Oxlund H.Connective tissue changes in the cervix during normal pregnancy and pregnancy complicated by cervical incompetence[J].Obstet Gynecol,1988,71:563-567.
  • 6Sennstrom MB,Ekman G,Westergren-Thorsson G,et al.Human cervical ripening,an inflammatory process mediated bycytokines[J].Mol Hum Reprod,2000,6:375-381.
  • 7Harger JH.Cerclage and cervical insufficiency:an evidence-basedanalysis[J].Obstet Gyneco1,2002,100:1313-1327.
  • 8SciscioneAC.Maternal activity restriction and the prevention ofpretermbirth[J].Am J Obstet Gynecol,2010,202:232.e1-232.e5.
  • 9Dharan VB,Ludmir J.Alternative treatment for a short cervix:the cervical pessary[J].Semin Perinatol,2009,33:338-342.
  • 10Shirodkar V.A new method of operative treatment of habitual abortion in the second trimester of pregnancy[J].Antiseptic J,1955,52:299-300.

引证文献6

二级引证文献29

中华医学杂志
2013年 第43期

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部