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目的探讨子宫纵隔的较佳诊断治疗方法。方法本组病例回顾性分析了2008年1月~2012年5月在云南省第三人民医院收治的68例子宫纵隔患者的诊断、治疗及预后。结果子宫纵隔术前诊断的主要依据是B超及HSG,宫腹腔镜联合检查确诊。腹腔镜监护下的宫腔镜子宫纵隔切除术为主要的治疗手段。术后随访:自然流产率由术前96.96%下降至术后8.33%,足月分娩率由1.01%上升至66.67%,不孕率由32.29%下降至6.25%。结论 B超及HSG是子宫纵隔术前的主要筛查手段,宫腹腔镜联合检查确诊,腹腔镜监护宫腔镜子宫纵隔切除术是治疗子宫纵隔的较好方法 ,且直观、微创,患者顺应性较好,可明显改善生殖预后。
Objective To investigate the better diagnosis and treatment of uterine mediastinum. Methods This group of patients retrospectively analyzed the diagnosis, treatment and prognosis of 68 cases of uterine mediastinum in the Third People’s Hospital of Yunnan Province from January 2008 to May 2012. Results The main basis of preoperative diagnosis of uterine septum is B-ultrasound and HSG, laparoscopy confirmed by laparoscopy. Hysteroscopic laparoscopic hysteroscopic mediastinal resection of the main treatment. Postoperative follow-up: The spontaneous abortion rate decreased from 96.96% preoperatively to 8.33% postoperatively, the full-term delivery rate increased from 1.01% to 66.67%, and the infertility rate decreased from 32.29% to 6.25%. Conclusions B-ultrasound and HSG are the main screening methods for preoperative uterine mediastinoscopy. Laparoscopy combined with laparoscopy and hysteroscopy is a better method for treating uterine mediastinum. It is intuitive and minimally invasive, Sex is better, can significantly improve reproductive prognosis.