The research of curative effect of hysteroscope electrotomy for treating infertile women with uterine septum / 中国医学装备

ABSTRACT

Objective:To study the effect of hysteroscope electrotomy for treating infertile women with uterine septum.Methods: 64 patients with uterine septum were divided into observation group (25cases) and control group (39cases) according to different operation method. Patients of observation group received the combination mode of hysteroscope and laparoscope while the patients of control group received hysteroscope electrotomy. And thenthe effects of the two surgical methods for pregnancy outcome of the patients of the two groups were compared. Results: In 22 patients with complete uterine septum, the postoperative pregnancy rate was 59.09％ which was significantly higher than preoperative pregnancy rate (18.18％) (x2=4.539,P<0.05). The postoperative rate of normal childbirth in term was 31.82％ which was significantly higher than preoperative outcome (0％) (x2=8.324, P<0.004). In 42 patients which incomplete uterine septum, the postoperative pregnancy rate was 73.81％ which was significantly higher than preoperative pregnancy rate (33.33％) (x2=13,832,P<0.05). The postoperative rate of normal childbirth in term was 54.76％ which was significantly higher than preoperative outcome (0％)(x2=31.672, P<0.004).Conclusion: Hysteroscope electrotomy is significant in the treatment for patient with uterine septum, and it has series of advantages of minimally invasive surgery including small wound, less blooding, fast prognosis and others. Therefore, it is worthy in the clinical promoting.