Hysteroscopic treatment of septate uterus with Neodymium: YAG laser / 中国微创外科杂志

ABSTRACT

Objective To investigate the clinical effect of hysteroscopic treatment of septate uterus with Neodymium YAG laser. Methods Forty-six sterile patients with septate uterus received hysteroscopic metroplasty with Nd YAG laser.The metroplasty was completed under the guidance of B-ultrasonography in 41 patients with incomplete septate uterus,and with the assistance of laparoscopy in other 5 patients with complete septate uterus.Results The metroplasty was successfully conducted on one session in 45 patients,the success rate being 98%(45/46).Postoperative follow-up examinations in 28 patients found pregnancy within 1 year in 20 patients,16 of whom delivered of a viable term infant,the pregnancy rate within 1 year being 71%.Conclusions Hysteroscopic treatment of septate uterus with Nd YAG laser is effective.The uterine neck may not be excessively dilated,the intraoperative bleeding can be thoroughly controlled,and the procedure under general anesthesia is relatively safe.