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目的分析宫腔镜下经宫颈子宫纵隔切除术(transcervical resection of septum,TCRS)的临床疗效。方法选取2012年10月至2013年10月首都医科大学附属北京天坛医院首次行TCRS手术治疗60例子宫纵隔患者,术后随访12~24个月,分析患者术后妊娠及分娩结局。结果不孕率、流产率分别由术前的46.4%、56.7%降至27.5%、5.0%,活产率由术前的6.7%升至53.3%,手术前后比较差异有统计学意义(P<0.05),术后均无宫颈机能不全、胎盘早剥、子宫破裂等并发症发生。结论患者TCRS术后能明显改善妊娠结局。
Objective To analyze the clinical effect of hysteroscopic transcervical resection of septum (TCRS). Methods From October 2012 to October 2013, 60 cases of uterine mediastinum were treated by TCRS in Beijing Tiantan Hospital, Capital Medical University. Patients were followed up for 12-24 months. The postoperative pregnancy and delivery outcomes were analyzed. Results The rate of infertility and miscarriage decreased from 46.4% and 56.7% preoperatively to 27.5% and 5.0%, respectively. The live birth rate increased from 6.7% preoperatively to 53.3% preoperatively and statistically significant (P < 0.05), postoperative cervical incompetence, placental abruption, uterine rupture and other complications occurred. Conclusion TCRS patients can significantly improve pregnancy outcomes.