On the laparoscopic treatment of uterine septum hysteroscopic surgery 35 patients.docVIP

 PAGE \* MERGEFORMAT 10 On the laparoscopic treatment of uterine septum hysteroscopic surgery 35 patients OF: Ming-En Wang Qing Shen Cai Xiaoling Pan Jin Xu spent [Keywords:] Laparoscopy Hysteroscopy Uterine Septum The formation of septate uterus during embryonic development is due to both sides of vice in the renal tubular absorption of convergence of the posterior mediastinum has not been formed, can be divided into complete and incomplete mediastinum is the most common uterine malformation one, about the incidence of uterine malformation 80% to 90% [1]. Infertility clinic were more common, but also repeated abortion, premature birth and other adverse pregnancy treatment because patients with a history. Patients were B-, surgery hysterosalpingography (HSG) or hysteroscopy can diagnose uterine septum. Our hospital The septate uterus were treated by laparoscopy combined with hysteroscopy for uterine septum resection, diagnosis and treatment results now reported as follows. Subjects and methods 1. Target: January 2005 ~ January 2009 in our hospital were 35 cases of septate uterus. Not entirely mediastinum 33 cases, complete mediastinal in 2 patients. The age of 23 to 35 years old, average 28.5 years old. 2. Clinical manifestations and diagnosis: patients with spontaneous abortion occurred in 23 cases, of which at least 1 occurrence, occurring up to 4 times. Has 18 cases of habitual abortion. Preterm birth 8 cases, of which at least 1 occurrence, up to occur 2. ectopic pregnancy, 2 cases, 9 cases of primary infertility (a normal sex life, not contraception, living together for 2 years never pregnant). B ultrasonic diagnosis in 27 cases, hysterosalpingography for diagnosing, 2 cases Hysteroscopy diagnosed in 6 cases. preoperatively in 2 cases, 1 case was found with ovarian cyst, 2 cases with uterine fibroids, 6 cases of fallopian tube is blocked and 3 cases of pelvic adhesions. 3. Surgical methods: laparoscopy combined with hysteroscopy are u