[1]陈永森,刘 晨,田燕妮,等.子宫纵隔的诊疗研究[J].医学信息,2022,35(10):55-58.[doi:10.3969/j.issn.1006-1959.2022.10.013]
 CHEN Yong-sen,LIU Chen,TIAN Yan-ni,et al.Diagnosis and treatment of Uterine Septum[J].Medical Information,2022,35(10):55-58.[doi:10.3969/j.issn.1006-1959.2022.10.013]
点击复制

子宫纵隔的诊疗研究()
分享到:

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
35卷
期数:
2022年10期
页码:
55-58
栏目:
综述
出版日期:
2022-05-15

文章信息/Info

Title:
Diagnosis and treatment of Uterine Septum
文章编号:
1006-1959(2022)10-0055-04
作者:
陈永森刘 晨田燕妮
(1.西安医学院研究生院,陕西 西安 710021;2.西北妇女儿童医院妇二科,陕西 西安 710061)
Author(s):
CHEN Yong-senLIU ChenTIAN Yan-niet al.
(1.Graduate School of Xi’an Medical University,Xi’an 710021,Shaanxi,China;2.The Second Department of Gynecology,Northwest Women’s and Children’s Hospital,Xi’an 710061,Shaanxi,China)
关键词:
子宫纵隔宫腔镜子宫纵隔切除术先天性子宫畸形宫腔粘连
Keywords:
Uterine septumTranscervical resection of septaCongenital uterine anomalyIntrauterine adhesion
分类号:
R711.1
DOI:
10.3969/j.issn.1006-1959.2022.10.013
文献标志码:
A
摘要:
子宫纵隔是女性先天性子宫畸形中最常见的子宫畸形,由于纵隔大小与组织结构不同,临床表现存在差异。目前,子宫纵隔诊断标准采用的是1988年AFS和2013年ESHRE/ESGE制定的女性生殖系统畸形分类标准。宫腔镜联合超声或宫腹腔镜联合检查是诊断纵隔子宫的“金标准”。宫腔镜子宫纵隔切除术是矫正子宫纵隔的标准术式,但术后是否需要使用雌激素预防宫腔粘连等相关问题尚无定论。本文就子宫纵隔病因与流行病学、发病机制、诊断标准及治疗措施相关研究作一综述,以期为子宫纵隔诊断及治疗提供一定的参考价值。
Abstract:
Uterine septum is the most common uterine malformation in women with congenital uterine malformation. Due to the different size and structure of uterine septum, there are differences in clinical manifestations. At present, the diagnostic criteria of uterine septum is the classification criteria of female reproductive system malformations formulated by AFS in 1988 and ESHRE/ESGE in 2013. Hysteroscopy combined with ultrasound or hysteroscopy combined with laparoscopy is the gold standard for the diagnosis of mediastinal uterus. Transcervical resection of septa is a standard surgical method for correction of uterine septum, but whether estrogen is needed to prevent intrauterine adhesions and other related issues are still unclear. This article reviews the etiology and epidemiology, pathogenesis, diagnostic criteria and treatment of uterine septum, in order to provide some reference value for the diagnosis and treatment of uterine septum.

参考文献/References:

[1]Akhtar M,Saravelos S,Li T,et al.Reproductive Implications and Management of Congenital Uterine Anomalies: Scientific Impact Paper No.62 November 2019[J].BJOG,2020,127(5):e1-e13.[2]Bhagavath B,Greiner E,Griffiths KM,et al.Uterine Malformations:An Update of Diagnosis, Management, and Outcomes[J].Obstet Gyneco Surv,2017,72(6):377-392.[3]Chan YY,Jayaprakasan K,Zamora J,et al.The prevalence of congenital uterine anomalies in unselected and high-risk populations: a systematic review[J].Hum Reprod Update,2011,17(6):761-771.[4]Casadio P,Magnarelli G,La Rosa M,et al.Uterine Fundus Remodeling after Hysteroscopic Metroplasty: A Prospective Pilot Study[J].J Clin Med,2021,10(2):260.[5]Amer M,Nageeb L,Mohammed W,et al.Histologic Features of Uterine Septum[J].Evidence Based Women s Health Journal,2018,8(4):318-323.[6]Abdel Moety GA,Gaafar HM,Shawki O,et al.Histological Structure and Vascularity of Hysteroscopically Removed Uterine Septa in Patients With Primary Infertility and Patients With Recurrent Pregnancy Loss[J].J Minim Invasive Gynecol,2016,23(1):66-71.[7]Rikken J,Leeuwis-Fedorovich NE,Letteboer S,et al.The pathophysiology of the septate uterus: a systematic review[J].BJOG,2019,126(10):1192-1199.[8]Raga F,Casan EM,Bonilla-Musoles F.Expression of vascular endothelial growth factor receptors in the endometrium of septate uterus[J].Fertil Steril,2009,92(3):1085-1090.[9]Du H,Taylor HS.The Role of Hox Genes in Female Reproductive Tract Development,Adult Function,and Fertility[J].Cold Spring Harb Perspect Med,2015,6(1):a023002.[10]Fascilla FD,Resta L,Cannone R,et al.Resectoscopic Metroplasty with Uterine Septum Excision: A Histologic Analysis of the Uterine Septum[J].J Minim Invasive Gynecol,2020,27(6):1287-1294.[11]Grimbizis G.The pathophysiology of septate uterus[J].BJOG,2019,126(10):1200.[12]Pfeifer S,Butts S,Dumesic D,et al.Uterine septum: a guideline[J].Fertil Steril,2016,106(3):530-540.[13]Kougioumtsidou A,Mikos T,Grimbizis GF,et al.Three-dimensional ultrasound in the diagnosis and the classification of congenital uterine anomalies using the ESHRE/ESGE classification:a diagnostic accuracy study[J].Arch Gynecol Obstet,2019,299(3):779-789.[14]Mueller GC,Hussain HK,Smith YR,et al.Müllerian duct anomalies: comparison of MRI diagnosis and clinical diagnosis[J].AJR Am J Roentgenol,2007,189(6):1294-1302.[15]Toppozada TM,Elsayed SM,Galal AF.Accuracy of Three Dimensional Saline Infusion Sonohysterography Compared to Magnetic Resonance Imaging in the Differential Diagnosis of Septate,Bicornuate and Arcuate Uteri[J].Gynecol Reprod Health,2019,3(5):1-6.[16]Tsonis O,Gkrozou F,Dimitriou E,et al.Sonographic and Hysteroscopic Assessment of Uterine Congenital Malformations: A Retrospective Study[J].Journal of Medical-Clinical Research & Reviews,2021.[17]Grimbizis GF,Di Spiezio Sardo A,Saravelos SH,et al.The Thessaloniki ESHRE/ESGE consensus on diagnosis of female genital anomalies[J].Hum Reprod,2016,31(1):2-7.[18]Grimbizis GF,Gordts S,Di Spiezio Sardo A,et al.The ESHRE-ESGE consensus on the classification of female genital tract congenital anomalies[J].Gynecol Surg.2013,10(3):199-212.[19]Ludwin A,Ludwin I,Coelho Neto MA,et al.Septate uterus according to ESHRE/ESGE,ASRM and CUME definitions: association with infertility and miscarriage,cost and warnings for women and healthcare systems[J].Ultrasound Obstet Gynecol,2019,54(6):800-814.[20]夏恩兰.子宫畸形的诊治[J].中国实用妇科与产科杂志,2018,34(4):367-371.[21]Krishnan M,Narice BF,Ola B,et al.Does hysteroscopic resection of uterine septum improve reproductive outcomes: a systematic review and meta-analysis[J].Archives of Gynecology and Obstetrics,2021,303(5):1131-1142.[22]公丕军,谢秀英,段钊,等.子宫纵隔132例宫腔镜电切术后妊娠结局分析[J].陕西医学杂志,2017,46(2):160-161,170.[23]Rikken JFW,Kowalik CR,Emanuel MH,et al.Septum resection versus expectant management in women with a septate uterus: an international multicentre open-label randomized controlled trial[J].Hum Reprod,2021,36(5):1260-1267.[24]Wang X,Hou H,Yu Q.Fertility and pregnancy outcomes following hysteroscopic metroplasty of different sized uterine septa: A retrospective cohort study protocol[J].Medicine(Baltimore),2019,98(30):e16623.[25]Saridogan E,Salman M,Direk LS,et al.Reproductive Performance Following Hysteroscopic Surgery for Uterine Septum: Results from a Single Surgeon Data[J].J Clin Med,2021,10(1):130.[26]杨益民,黄欢,冯力民,等.纵隔子宫诊断与治疗相关临床问题解析[J].国际妇产科学杂志,2017,44(3):248-251.[27]Alvero R,Burney RO,Khorshid A,et al.Surgical treatment of uterine septum to improve reproductive outcomes-resect or not?[J].Fertil Steril,2021,116(2):298-305.[28]Timmons D,Mudafort E,Decherney A.Uterine septum: a case report and a recommendation to change the current guidelines[J].Global Reproductive Health,2021,6:e49.[29]Yu X,Yuhan L,Dongmei S,et al.The incidence of post-operative adhesion following transection of uterine septum: a cohort study comparing three different adjuvant therapies[J].Eur J Obstet Gynecol Reprod Biol,2016,201:61-64.[30]Tonguc EA,Var T,Yilmaz N,et al.Intrauterine device or estrogen treatment after hysteroscopic uterine septum resection[J].Int J Gynaecol Obstet,2010,109(3)226-229.[31]Roy KK,Negi N,Subbaiah M,et al.Effectiveness of estrogen in the prevention of intrauterine adhesions after hysteroscopic septal resection: a prospective,randomized study[J].J Obstet Gynaecol Res,2014,40(4):1085-1088.

更新日期/Last Update: 1900-01-01