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首页> 外文期刊>Gynecologie, obstetrique & fertilit >Uterine rupture following operative hysteroscopy
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Uterine rupture following operative hysteroscopy

机译：宫腔镜手术后子宫破裂

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The aim of this study was to attempt to identify factors predictive of uterine rupture following operative hysteroscopy. A MEDLINE and EMBASE search (1980 to April 2006) using the keywords "hysteroscopy", "uterine rupture" and "pregnancy" was performed with no limitations of languages. 18 cases of uterine rupture following operative hysteroscopy were retrieved. Hysteroscopic metroplasty (uterine septa and synechiae) was involved in 16 (89%) cases. Hysteroscopic resection was performed with monopolar current cutting, rigid scissors and laser in respectively 14 (78%), 3 (16.5%) and 1 (5.5%) cases. Uterine perforation occurred in 10 (55.5%) cases. The interval between hysteroscopy and subsequent pregnancies varied from 1 month to 5 years with an average delay of 16 months. Uterine rupture occurred between 19 and 41 weeks, with no labour in 12 (66.5%) cases. Four fetal and one maternal deaths followed uterine rupture. Hysteroscopic metroplasty may expose patients to an increased risk of uterine rupture in subsequent pregnancy. Uterine perforation and/or the use of current monopolar section during operative hysteroscopy increase this risk. Uncomplicated hysteroscopic resection of submucous myomas and endometrial polyps do not alter obstetrical outcome. Considering hysteroscopic metroplasty, the use of coaxial bipolar electrode should be preferred.
机译：这项研究的目的是试图确定手术子宫镜检查后可预测子宫破裂的因素。使用关键词“宫腔镜检查”，“子宫破裂”和“妊娠”进行了MEDLINE和EMBASE搜索（1980年至2006年4月），而没有语言的限制。宫腔镜手术后子宫破裂18例。宫腔镜子宫成形术（子宫间隔和粘连）涉及16例（89％）。分别在14例（78％），3例（16.5％）和1例（5.5％）情况下，采用单极电流切割，硬质剪刀和激光进行宫腔镜切除术。子宫穿孔发生10例（55.5％）。宫腔镜检查与随后妊娠之间的间隔从1个月到5年不等，平均延迟16个月。子宫破裂发生在19至41周之间，其中12例（66.5％）无劳动。子宫破裂后有4例胎儿死亡和1例产妇死亡。宫腔镜子宫成形术可能使患者在随后的妊娠中子宫破裂的风险增加。宫腔镜检查期间子宫穿孔和/或使用当前的单极切片会增加这种风险。简便的宫腔镜切除粘膜下肌瘤和子宫内膜息肉不会改变产科预后。考虑宫腔镜整形术，应首选同轴双极电极。

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