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利用回顾性研究,对31例重度宫腔粘连运用宫腔镜治疗后妊娠情况进行评估。28个患者平均追踪了31个月(2～84个月),在12例患者中共有15次妊娠:其中有2例早期流产,3例于孕中期流产,1例于孕中期因胎儿严重畸形行人工引产,9例分别于不同患者各取得一次正常活产。治疗后妊娠率为12/28(42.8%),活产率为9/28(32.1%)。妊娠者中年龄<35岁的为10例,而>35岁的为2例。3例失去追踪从而结果遗失。在9例活产患者中,1例因为胎盘植入行剖宫产并因大出血行髂内动脉结扎。宫腔镜对重度阿森曼格综合征的治疗能建立有效的宫腔形态,并有42.8%的妊娠率,不过,这些妊娠冒有因胎盘异常所至大出血的风险。
Using retrospective study, 31 cases of severe intrauterine adhesions using hysteroscopic treatment of pregnancy assessment. Twenty-eight patients were followed for an average of 31 months (range, 2 to 84 months) with a total of 15 pregnancies in 12 patients: 2 were early abortions, 3 were miscarried during the second trimester, and 1 were severely malformed during the second trimester Row induced labor, nine cases were obtained in different patients each normal live birth. After treatment, the pregnancy rate was 12/28 (42.8%) and the live birth rate was 9/28 (32.1%). 10 of the pregnant women <35 years old and 2> 35 years old. 3 cases lost track and the result was lost. Of the 9 live births, 1 was cesarean for placenta accreta and ligation of the internal iliac artery due to hemorrhage. Hysteroscopic treatment of severe Assenmeng syndrome can establish an effective uterine morphology and a pregnancy rate of 42.8%, however, these pregnancies risk posterior bleeding due to placental abnormalities.