Influencing factors analysis of the postoperative pregnancy in patients with uterine septum

VernacularTitle:宫腔镜子宫中隔切除术后妊娠相关因素分析
Author: Yaofang LIU ; Zhaoming LU ; Ping ZHAN ; Xiguang MAO
Keywords: uterine septum; hysteroscopy; transcervical resection of septa; pregnancy; influencing factor
From: China Journal of Endoscopy 2016;22(2):38-41
CountryChina
Language:Chinese
Abstract: Objective To analyze the impact of uterine septum on pregnancy and influencing factors on postopera-tive pregnancy. Methods 125 patients with septate uterus and bearing requirement who underwent TCRS were fol-lowed up to assess fertility outcome. The clinical data was retrospectively analyzed. Results Spontaneous abortion rate was 70.40%and 19.39%, live birth rates was 10.40%and 72.45 %in preoperation and postoperation respec-tively. The difference was statistically significant ( < 0.05). Spontaneous abortion rate in older than 35 years old group was significantly higher than that in younger than 35 years old group, but live birth rate was lower. There was no significant difference in different times of operation in uterine cavity, number of abortion and septum length and so on. Conclusions TCRS can significantly improve pregnancy outcome. The age has influence on postoperative pregnancy outcome. Abortion numbers, septum length, septal base width, intrauterine device (IUD) and hormone re-placement therapy (HRT) may have no effects.