宫腔镜子宫中隔切除术对子宫中隔引起的复发性流产及不孕的治疗效果观察

摘要

Objective:To study the therapy efficacy of treating recurrent spontaneous abortion with hyste-roscope TCRS.Methods:Select patients with uterus septus received hysteroscope TCRS in a hospital as re-search subjects.Divide them into two groups according to the septum length and the width of the basal sep-tum.Compare the spontaneous abortion rate and live birth rate of the two groups before and after the surger-y.Results:All the patients received the treatment successfully and no complications occurred.After the sur-gery,the total pregnancy rate was 86.67%,live birth rate was 85.06%.There were no significant differences in the spontaneous abortion rate and live birth rate between the two groups of patients with different septum length before and after the surgery(P >0.05).Compared with the situation before the surgery,the spontane-ous abortion rate of both groups decreased significantly after the surgery,the live birth rate of both groups increased significantly after the surgery (P <0.05).There were significant differences in the spontaneous a-bortion rate and live birth rate between the two groups of patients with different width of the basal septum before the surgery(P <0.05),but no significant differences after the surgery(P >0.05).Compared with the situation before the surgery,the spontaneous abortion rate of both groups decreased significantly after the surgery,the live birth rate of both groups increased significantly after the surgery (P <0.05 ).Conclusion:Treating recurrent spontaneous abortion with hysteroscope TCRS has remarkable curative effect and is worth to be promoted.%目的：：探索研究宫腔镜子宫中隔切除术对子宫中隔引起的复发性流产及不孕的治疗效果。方法：选择某院收治的接受宫腔镜子宫中隔切除术(TCRS)且有生育要求中隔子宫患者作为研究对象并进行分组研究，按照中隔长度与中隔基底宽度进行分组，将手术前后的自然流产率以及活产率情况进行对比。结果：所有患者均顺利完成手术，均未发生并发症。术后总妊娠率为86.67%，活产率85.06%，未发生子宫破裂、胎盘粘连等并发症。两组子宫中隔长度不同患者术前流产率与活产率方面不具有显著性差异(P<0.05)。两组患者的术后自然流产率与活产率方面均不具有显著性差异(P >0.05)。同术前相比，两组患者的术后自然流产率得以显著性降低，而活产率得以显著性升高(P <0.05)。两组子宫中隔基底宽度患者术前自然流产率以及活产率组间差异存在统计学意义(P <0.05)，术后自然流产率与活产率组间差异不具有显著性(P >0.05)。同术前相比，两组患者的术后自然流产率得以显著性降低，而活产率得以显著性升高(P <0.05)。结论：应用宫腔镜子宫中隔切除术对子宫中隔患者进行治疗，可以产生显著的效果，有效改善患者的复发性流产及不孕症状，具有极大的推广应用价值。