دورية أكاديمية

Reproductive Outcome of Transcervical Uterine Incision in Unicornuate Uterus

التفاصيل البيبلوغرافية
العنوان: Reproductive Outcome of Transcervical Uterine Incision in Unicornuate Uterus
المؤلفون: En-Lan Xia, Tin-Chiu Li, Sze-Ngar Sylvia Choi, Qiao-Yun Zhou
المصدر: Chinese Medical Journal, Vol 130, Iss 3, Pp 256-261 (2017)
بيانات النشر: Wolters Kluwer
سنة النشر: 2017
المجموعة: Directory of Open Access Journals: DOAJ Articles
مصطلحات موضوعية: Hysteroscopy, Pregnancy Outcome, Surgery, Transcervical Incision of Uterus, Unicornuate Uterus, Uterine Anomalies, Medicine
الوصف: Background: The pregnancy outcome of the unicornuate uterus is associated with an increased risk of miscarriage, cervical incompetence, and a number of obstetric complications. However, at present, there is no accepted treatment method for women with unicornuate uterus, other than expectant measures. The aim of this study was to evaluate the reproductive outcome of transcervical uterine incision (TCUI) in patients with unicornuate uterus. Methods: Thirty-three patients with unicornuate uterus presented to our tertiary center for infertility or miscarriage. All 33 patients underwent TCUI and were followed up for 10–52 months. The pregnancy outcomes ( first-trimester miscarriage, second-trimester miscarriage, preterm, term, intrauterine death, ongoing pregnancy, and live birth) before and after TCUI were compared by t- test. Results: Among 31 patients who attempted to conceive after TCUI, twenty conceived including one termination of pregnancy, one second-trimester miscarriage, one ectopic pregnancy, five preterm deliveries, 11 term delivery, and one ongoing pregnancy. There were 16 live births in total. There was significant reduction in the first-trimester miscarriage rate (t = 4.890; P< 0.001), increase in term delivery (t = −3.288; P = 0.002), and live birth rates (t = −4.073; P< 0.001) after TCUI. Conclusion: TCUI appeared to improve the pregnancy outcome in women with unicornuate uterus presenting with infertility or miscarriage.
نوع الوثيقة: article in journal/newspaper
اللغة: English
تدمد: 0366-6999
العلاقة: http://www.cmj.org/article.asp?issn=0366-6999;year=2017;volume=130;issue=3;spage=256;epage=261;aulast=XiaTest; https://doaj.org/toc/0366-6999Test; https://doaj.org/article/1600aa40081c448e8e780fdcdd87a7e5Test
DOI: 10.4103/0366-6999.198919
الإتاحة: https://doi.org/10.4103/0366-6999.198919Test
https://doaj.org/article/1600aa40081c448e8e780fdcdd87a7e5Test
رقم الانضمام: edsbas.E0333C4E
قاعدة البيانات: BASE
الوصف
تدمد:03666999
DOI:10.4103/0366-6999.198919