| 386 | 17 | 99 |
| 下载次数 | 被引频次 | 阅读次数 |
复发性流产病因复杂,子宫畸形是其病因之一,不同类型的子宫畸形患者的妊娠结局差距较大,其自然流产或复发性流产发生的概率也因子宫畸形的类型和程度而有所不同。子宫成形术是有复发性流产史或妊娠结局差的子宫畸形患者的主要治疗手段,可明显降低流产率,改善妊娠结局。本文阐述各类子宫畸形导致复发性流产的研究现状,并对各类子宫畸形的手术干预效果进行综述。
Abstract：Uterine malformation is one of the complicated causes of recurrent spontaneous abortion.There is considerable diversity in pregnancy outcome among the patients with different types of uterine malformations.The incidence of spontaneous abortion or recurrent spontaneous abortion is also different due to the type and extent of uterine malformation.Hysteroscopic metroplasty is the main treatment for patients with uterine malformation and history of recurrent miscarriage or poor pregnancy outcome,which can significantly reduce the abortion rate and improve pregnancy outcome.This paper describes the advanced research on various types of uterine malformation leading to recurrent spontaneous abortion,and summarizes the surgical intervention effects of various types of uterine malformations.
[1]张宏展,余姝毅,陈现,等.复发性流产的病因分析[J].生殖医学杂志,2017,26:932-935.
[2]Yuna Z,Yuhuab S,Zijiangb C,et al.Effect of Mullerian duct ab-normalities on fertility outcomes and mutation of HOXA13gene[J].Prog Obstet Gynecol,2012,21:197-204.
[3]Lamonica R,Pinto J,Luciano D,et al.Incidence of septate uus in reproductive-aged women with and without endometriosis[J].JMinim Invasive Gynecol 2016,23:610-613.
[4]杨秀芳.复发性流产病因学研究进展[J].中国妇幼保健,2015,30:4080-4082.
[5]Chan YY,Jayaprakasan K,Tan A,et al.The prevalence of congenital uterine anomalies in unselected and high risk populations:a systematic review[J].Hum Reprod Update,2011,17:761-771.
[6]Mastrolia SA,Baumfeld Y,Hershkovitz R,et al.Independent association between uterine malformations and cervical insufficiency:a retrospective population-based cohort study[J].Arch Gynecol Obstet,2018,297:919-926.
[7]Sugiura-Ogasawara M,Ozaki Y,Suzumori N.Müllerian anomalies and recurrent miscarriage[J].Curr Opin Obstet Gynecol,2013,25:293-298.
[8]Prior M,Richardson A,Asif S,et al.Outcome of assisted reproduction in women with congenital uterine anomalies:a prospective observational study[J].Ultrasound Obstet Gynecol,2018,51:110-117.
[9]Galamb,Peth9 B,Fekete D,et al.Uterine anomalies in women with recurrent pregnancy loss[J].Orv Hetil,2015,156:1081-1084.
[10]Kup'esicS,Kurjak A,Skenderovic S,et al.Screening for uterine abnormalities by three-dimensional ultrasound improves perinatal outcome[J].J Perinat Med,2002,30:9-17.
[11]Woelfer B,Salim R,Banerjee S,et al.Reproductive outcomes in women with congenital uterine anomalies detected by three dimensional ultrasound screening[J].Obstet Gynecol,2001,98:1099-1103.
[12]钞晓培,谭先杰.纵隔子宫与妊娠[J].生殖医学杂志,2018,27:702-706.
[13]Saygili-Yilmaz E,Yildiz S,Erman-Akar M,et al.Reproductive outcome of septate uterus after hysteroscopic metroplasty[J].Arch Gynecol Obstet,2003,268:289-292.
[14]Paradisi R,Barzanti R,Natali F,et al.Metroplasty in a large population of women with septate uterus[J].J Minim Invasive Gynecol,2011,18:449-454.
[15]Tofoski G,Antovska V.Influence of hysteroscopic metroplastyon reproductive outcome in patients with infertility and recurrent pregnancy loss[J].Pril(Makedon Akad Nauk Umet OddMed Nauki),2014,35:95-103.
[16]Grynberg M,Gervaise A,Faivre E,et al.Treatment of twenty-two patients with complete uterine and vaginal septum[J].J Minim Invasive Gynecol,2012,19:34-39.
[17]王素敏,顾小燕,许锋,等.宫腔镜子宫纵隔切开术治疗纵隔子宫[J].中国实用妇科与产科杂志,2018,34:371-374.
[18]刘奇志,高瑞花,曾志华,等.不同类型子宫畸形及手术治疗对生育能力及妊娠结局的影响[J].生殖与避孕,2015,35:840-845.
[19]Ozgur K,Bulut H,Berkkanoglu M,et al.Reproductive outcomes of IVF patients with unicornuate uteri[J/OL].Reprod Biomed Online,2017,34:312-318.
[20]Chen Y,Nisenblat V,Yang P,et al.Reproductive outcomes in women with unicornuate uterus undergoing in vitro fertilization:a nested case-control retrospective study[J].Reprod Biol Endocrinol,2018,16:64.
[21]夏恩兰,彭雪冰.宫腔镜手术治疗单角子宫成功妊娠三例报告及文献复习[J].中华妇产科杂志,2013,48:689-691.
[22]Xia EL,Li TC,Choi SS,et al.Reproductive outcome of transcervical uterine incision in unicornuate uterus[J].Chin Med J,2017,130:256-261.
[23]Golan A,Langer R,Wexler S,et al.Cervical cerclage--its role in the pregnant anomalous uterus[J].Int J Fertil,1990,35:164-170.
[24]Mastrolia SA,Baumfeld Y,Hershkovitz R,et al.Bicornuate uterus is an independent risk factor for cervical os insufficiency:A retrospective population based cohort study[J].J Matern Fetal Neonatal Med,2017,30:2705-2710.
[25]黄瑛,周文隆.双角子宫成形术后生殖效果分析[J].现代医学,2003,31:335-336.
[26]Alborzi S,Asefjah H,Amini M,et al.Laparoscopic metroplasty in bicornuate and didelphic uteri:feasibility and outcome[J].Arch Gynecol Obstet,2015,291:1167-1171.
[27]Nishida M,Otsubo Y,Arai Y,et al.Difference in reproductive performance between two subtypes of bicornuate uterus[J].Arch Gynecol Obstet,2016,293:1335-1338.
[28]刘琳琳,黄晓武,夏恩兰.宫腹腔镜联合完全双角子宫矫形术的生殖预后[J].国际生殖健康/计划生育杂志,2018,37:99-102.
[39]连岩,王谢桐.双子宫和纵隔子宫与复发性流产的关系及处理[J].中国实用妇科与产科杂志,2013,29:82-86.
[30]Allen VM,Wilson RD,Cheung A,et al.Pregnancy outcomes after assisted reproductive technology[J].J Obstet Gynaecol Can,2006,28:220-233.
[31]林少梅,吴福.双子宫畸形妊娠与分娩结局52例临床分析[J].当代医学,2009,15:56-57.
[32]Dreisler E,Stampe Sorensen S.Müllerian duct anomalies diagnosed by saline contrast sonohysterography:prevalence in ageneral population[J].Fertil Steril,2014,102:525-529.
[33]Raga F,Bauset C,Remohi J,et al.Reproductive impact of congenital Müllerian anomalies[J].Hum Reprod,1997,12:2277-2281.
[34]Jayaprakasan K,Chan YY,Sur S,et al.Prevalence of uterine anomalies and their impact on early pregnancy in women conceiving after assisted reproduction treatment[J].Ultrasound Obstet Gynecol,2011,37:727-732.
[35]Surrey ES,Katz-Jaffe M,Surrey RL,et al.Arcuate uterus:is there an impact on in vitro fertilization outcomes after euploid embryo transfer?[J].Fertil Steril,2018,109:638-643.
基本信息:
中图分类号:R714.21;R711.1
引用信息:
[1]代会颖,李泽武,李瑞梅,等.子宫畸形导致复发性流产的研究现状[J].生殖医学杂志,2019,28(07):840-844.
2019-07-15
2019-07-15