Akademska digitalna zbirka SLovenije - logo
VSE knjižnice (vzajemna bibliografsko-kataložna baza podatkov COBIB.SI)
  • Nosečnosti pred in po histeroskopski resekciji pregrad v maternični votlini = A survey of pregnancies before and after hysteroscopic treatment of uterine septa
    Tomaževič, Tomaž ...
    Study objective. To evaluate reproductive benefits of hysteroscopic transcervical treatment of uterine septa of different stages compared to the pre-treatment structure of pregnancies. Patients and ... methods. We analysed retrospectively 468 hysteroscopic metroplasties performed by means of a resectoscope during the period 1993 - 1998. The automated Vario Flow system and 5 per cent dextrose were used for uterine distention. Results. The preoperative structure of 574 pregnancies differed significantly from that observed in 282 pregnancies after the operation (P<0.0001). The spontaneous abortion rate fell from 75 to 11% (P<0.0001).Đ, and the share of preterm deliveries in all deliveries dropped from 51 to 11% (P<0.0001). The rate of ectopic pregnancy remained virtually unchanged (7% versus 6%). Perinatal and neonatal data for 177 deliveries in women who underwent metroplasty, recorded in the Perinatal System of Slovenia, did not differ from the data on 354 deliveries in normal controls. The proportion of small, AFS (American Fertility Society) stage VI uterine septa and of 1.5-cm uterine anomalies of AFS stage V (total septa) was 43% and 57%, retrospectively. After hysteroscopic discission of 209 AFS grade 6 uterine septa, the rate of spontaneous abortions among all pregnancies dropped from 77% to 13%, and after157 discissions of AFS grade V septa from 74% to 13% (P<0.0001). The proportion of preterm deliveries in all deliveries decreased from 56% to 8% (P<0.0001) after metroplasties for minor (AFS grade VI) uterine anomalies, andfrom 47% to 12% after treatment of major (AFS grade V( uterine septa (P<0.002). Conclusions. The results have confirmed the curative value and the very probable preventive role of this safe and simple endoscopic procedure forthe treatment of minor (AFS grade VI) and major (AFS grade V) uterine septadiagnosed by vaginal ultrasound and confirmed by hysteroscopy.
    Vir: Endoskopska revija : glasilo Sekcije za endoskopsko kirurgijo in Sekcije za gastroenterološko endoskopijo Slovenije = Endoscopic review : journal of Slovenian Society of Endoscopic Surgery and Society of Gastroenterologic Endoscopy. - ISSN 1318-8941 (Letn. 5, št. 12/13, september/november 2000, str. 69-76)
    Vrsta gradiva - članek, sestavni del
    Leto - 2000
    Jezik - slovenski
    COBISS.SI-ID - 12600025

Vnos na polico