微型手术剪在中隔子宫切除中的应用

The application of microscissors to uterine septum excision

目的观察宫腔镜下微型手术剪切除中隔子宫术后辅助人工周期预防术后宫腔黏连的临床效果。方法将210例中隔子宫患者(完全型中隔子宫2例),随机分为对照组105例(包括2例完全型中隔子宫),行宫腔镜下中隔子宫电切术,术后辅助人工周期;试验组105例,行宫腔镜下微型手术剪切除中隔子宫,术后辅助人工周期;术后均随访3个月,记录术后1个月宫腔黏连情况及术后3个月子宫内膜覆盖情况。结果术后复查宫腔镜,试验组宫腔黏连明显减少且子宫内膜恢复良好,与对照组比较差异有统计学意义(P<0.05)。结论宫腔镜下微型手术剪切除子宫中隔术后辅助人工周期,可预防宫腔黏连,恢复子宫内膜,提高受孕率。

Objective To observe the chnical effect of microscissors on uterine septum excision under hysteroscope followed by artificial cycle for preventing intrauterine adhesion after the surgery. Methods 210 patients with uterine septum （ including two cases with complete uterine septum） were randomly divided into control group and trial group （105 cases in eachgroup, 2 cases with complete uterine septum in the control group）. Patients in the control group received uterine septum electrotomy under hysteroscope assisted by artificial cycle after the surgery. Patients in the trial group received uterine septum excision with micro scissors under hysteroscope followed by artificial cycle after the surgery. Patients in both groups were followed up for three months; the state of intrauterine adhesion one month after the surgery and the state of endometrial coverage three months after the surgery were recorded. Results Hysteroscopy re-performance after uterine septum excision with microscissors under hysteroscope followed by artificial cycle treatment revealed thatthe intrauterine adhesion was obviously reduced and the endometrium recovered well. Conclusion Uterine septum excision with microscissors under hysteroscope followed by artificial cycle for preventing intrauterine adhesion is safe and effective.