国际妇产科学杂志

国际妇产科学杂志 ›› 2014, Vol. 41 ›› Issue (5): 570-574.

• 讲座 • 上一篇    下一篇

子宫畸形诊治新纪元

夏恩兰   

  1. 100038 北京，首都医科大学附属复兴医院宫腔镜诊治中心
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2014-10-15 发布日期:2014-10-15

A New Era of Diagnosis and Treatment of Uterine Malformation

XIA En-lan   

  1. Hysteroscopic Center，Fuxing Hospital，Capital Medical University，Beijing 100038，China
  • Received:1900-01-01 Revised:1900-01-01 Published:2014-10-15 Online:2014-10-15

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摘要： 宫腹腔镜联合检查是子宫畸形的确诊方法。子宫畸形的矫形多可用宫腔镜手术完成。联合腹腔镜，可了解子宫外形，再次确认子宫畸形的类别，鉴别双子宫、双角子宫、中隔子宫、T型子宫、斜隔子宫、弓形子宫、单角子宫合并或不合并残角子宫等。同时监护宫腔镜手术过程，以提高手术的安全性，并可诊治盆腔其他病变，行输卵管通畅度检查。传统的畸形子宫开腹矫形手术已经被微创、有效、安全的宫腹腔镜手术合理替代。

关键词: 子宫, 矫形外科手术, 宫腔镜, 腹腔镜, 预后, 不育, 宫颈功能不全

Abstract: Laparoscopic combined with hysteroscopy examination is the confirmed diagnostic method for uterine malformation. Most uterine malformation metroplasty can be done by hysteroscopic surgery. But combing with laparoscopy can not only help to understand the shape of uterus, reconfirm the classifications of uterine anomaly, identify the uterus didelphys, such as: bicornuate uterus, septate uterus, T-shaped uterus, Robert′s uterus, arcuate uterus, unicornuate uterus with non-communicating/communicating rudimentary uterine horn, etc, but also can help to monitor the operation process which can improve the safety of operation and help to diagnose and treat other lesions in pelvis and do dye test of fallopian simultaneously. The traditional laparotomy metroplasty for malformation uterus has be reasonable replaced by hysteroscopy and laparoscopy which is minimally invasive, effective and safe surgery.

Key words: Uterus, Orthopedic procedures, Hysteroscopes, Laparoscopes, Prognosis, Infertility