不全中隔子宮に対する子宮鏡下子宮腔形成術後の妊娠成績に関する検討

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  • Reproductive outcome after transcervical resection in women with subseptate uterus.

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<p>Objective: To examine the efficacy of transcervical resection (TCR) for subseptate uterus in patients with infertility or recurrent miscarriage. </p><p>Design: Retrospective study. </p><p>Patients: Twenty-five patients with infertility or recurrent miscarriage who underwent TCR for subseptate uterus in Nagasaki University Hospital between October 1996 and June 2014.</p><p>Interventions: TCR and laparoscopic surveillance under general anesthesia. </p><p>Main outcome: Pregnancy rate and live birth rate after TCR.</p><p>Result: Pregnancy rates in primary infertility, secondary infertility, and recurrent miscarriage groups were 50% (4/8), 50% (2/4), and 100% (13/13), respectively. The live birth rates in the primary infertility, secondary infertility, and recurrent miscarriage groups were 83% (5/6), 100% (2/2) and 86% (18/21), respectively. Of 25 deliveries after TCR, 12 were performed by caesarean section. Although one caesarean section was performed for perioperative uterine perforation, the others were performed for obstetric indications: repeat caesarean section (5/12), breech presentation (3/12), placenta previa (1/12), placental abruption (1/12), and arrested labor (1/12). </p><p>Conclusion: Pregnancy and live birth rates improved in patients with recurrent miscarriage after TCR for subseptate uterus.</p>

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