Clinical Study Of Hysteroscopic Electroresection In 23 Patients With A Uterine Septum

Objective 1. the uterine septum belongs to the womb abnormal category, approximately composes the womb abnormally about 80%, is causes sterile, the natural abortion, the premature delivery and an extra-uterine pregnancy most common kind of womb is abnormal. The uterine septum diagnosis method still not general standard,this research compared at present through the final surgery diagnosis case, discussion ultrasound union uteroscope to uterine septum's diagnosis value. 2. the womb abnormal probability probably is about 1/1000, the major part also belongs to the mild abnormality, to breeds does not constitute absolutely the influence, therefore the overwhelming majority may the eukyesia and the childbirth. To formerly once had routine to miscarry, the premature delivery, long marriage sterile to be possible to consider that the surgery treats. Research after supersonic guardianship uteroscope through uterine septum excision method (TCRS) the uterine septum patient following pregnancy situation,discusses the uterine septum reasonable method of treatment. Method Review summary in March, 2001~2007 year in August I courtyard after uteroscope inspection union ultrasound diagnosis mediastinum womb case 67 examples, 67 example patients under ultrasound guardianship downward uteroscope uterine septum electrotomy(TCRS), in after technique, technique, pays attention avoids the complication, before after the surgery, compares the technique, the ultrasound union uteroscope diagnosis and the surgery determines the diagnosis coincidence rate, and after the technique makes a follow-up visit its following pregnancy situation. Results 1. Before the technique, the ultrasound union uteroscope diagnoses 67 example patients, passes through the surgery diagnosis for the uterine septum. And 5 example complete mediastinum womb, 62 example incomplete mediastinum womb, homogeneous time completes the uterine septum electrotomy, surgery smooth non-womb perforation, complication occurrences and so on intestines damage and water intoxication. 2. The technique latter 67 example patient makes a follow-up visit 56 examples, the revisit rate 83.58%, loses visits 11 examples. The research discovered after uteroscope uterine septum excision method, the patient natural rate of abortion 89.80% drops before the technique after the technique 28.89%, P<0.01; The live birth childbirth rate before the technique 6.12% rises after technique 48.89%, P<0.01, has the significance difference. After before the technique, and the technique rate of pregnancy did not think that has the difference (P>0.05). 3. After the technique the HRT treatment hormone type and the dosage divide into three groups, between during each group of data uses the Fisher accurate probability law comparison,each group of P>0.05, still could not think each group of treatment result to have the difference. Conclusion 1. before the ultrasound union uteroscope inspection is the present domestic technique, diagnoses uterine septum's good method. 2. under the uteroscope the uterine septum excision method (TCRS) treats the uterine septum abnormal ideal method, improves the pregnancy result obviously. Uses the supersonic guardianship surgery process to be possible to cause the surgery and more quickly, micro creates, safely. 3. After uterine septum electrotomy, the convention gives the hormone cycle treatment to be able to prevent the palace cavity adhesion complication completely the occurrence, but hormone type choice still not obvious specificity, different hormone dosage curative effect non-statistics difference, therefore may give in the lowest hormone dosage and continues to explore the hormone use the necessity.