Müllerian duct anomalies consist of a set of structural malformations resulting from abnormal development of the paramesonephric or Müllerian ducts.Failures in lateral fusion may result in uterus didelphys,b...Müllerian duct anomalies consist of a set of structural malformations resulting from abnormal development of the paramesonephric or Müllerian ducts.Failures in lateral fusion may result in uterus didelphys,bicornuate uterus or arcuate uterus while,reabsorption failure results in a uterus with a partial or complete septum.We reported a series of two cases of a woman with a septate uterus,cervical duplication and longitudinal vaginal septum undergoing an in vitro fertilization procedure.Septate uterus with double cervix and longitudinal vaginal septum is a rare anomaly.We reported its endoscopic management in two infertile women.Hysteroscopic metroplasty which is a safe and simple approach for the removal of the uterine septum can improve reproductive outcomes but in vitro fertilization can be an alternative approach for these patients.展开更多
To the Editor:Septate uterus is the most common congenital uterine malformation associated with an increased risk of miscarriage,preterm birth,and fetal malpresentation and reduced clinical pregnancy rates.The Europea...To the Editor:Septate uterus is the most common congenital uterine malformation associated with an increased risk of miscarriage,preterm birth,and fetal malpresentation and reduced clinical pregnancy rates.The European classification defines septate uterus as having an internal fundal indentation exceeding 50%of the uterine wall thickness and an external indentation less than 50%of the uterine wall thickness.展开更多
Objective To explore the diagnosis and treatment of duplex uterus. Methods Totally 16 cases with duplex uterus were diagnosed and treated with hysteroscopy and laparoscopic technology simultaneously. Results Sixteen c...Objective To explore the diagnosis and treatment of duplex uterus. Methods Totally 16 cases with duplex uterus were diagnosed and treated with hysteroscopy and laparoscopic technology simultaneously. Results Sixteen cases were finally diagnosed with hysteroscopy and B-ultrasound examination. Of the 16 cases, 12 cases underwent vaginal septum resection and hysteroscopic transcervical resection of septum （TCRS）, 2 cases underwent lysis of pelvic adhesions, vaginal septum resection and hysteroscopic transcervical resection of septum, and 2 unmarried cases underwent hysteroscopy in women with intact-hymen. All the 16 cases underwent the surgery successfully. Conclusion Hysteroscopy in combination with B-ultrasound examination is a major option for duplex uterus diagnosis, and hysteroscopic transcervical resection of septum and vaginal septum resection under B-ultrasound monitoring is the primary surgery treatment alternative for duplex uterus.展开更多
文摘Müllerian duct anomalies consist of a set of structural malformations resulting from abnormal development of the paramesonephric or Müllerian ducts.Failures in lateral fusion may result in uterus didelphys,bicornuate uterus or arcuate uterus while,reabsorption failure results in a uterus with a partial or complete septum.We reported a series of two cases of a woman with a septate uterus,cervical duplication and longitudinal vaginal septum undergoing an in vitro fertilization procedure.Septate uterus with double cervix and longitudinal vaginal septum is a rare anomaly.We reported its endoscopic management in two infertile women.Hysteroscopic metroplasty which is a safe and simple approach for the removal of the uterine septum can improve reproductive outcomes but in vitro fertilization can be an alternative approach for these patients.
基金supported by grants from the National Key Research and Development Program of China(No.2021YFC2701405)the National Natural Science Foundation of China(Nos.82171614 and 82271656),Beijing Natural Science Foundation(No.7232125).
文摘To the Editor:Septate uterus is the most common congenital uterine malformation associated with an increased risk of miscarriage,preterm birth,and fetal malpresentation and reduced clinical pregnancy rates.The European classification defines septate uterus as having an internal fundal indentation exceeding 50%of the uterine wall thickness and an external indentation less than 50%of the uterine wall thickness.
文摘Objective To explore the diagnosis and treatment of duplex uterus. Methods Totally 16 cases with duplex uterus were diagnosed and treated with hysteroscopy and laparoscopic technology simultaneously. Results Sixteen cases were finally diagnosed with hysteroscopy and B-ultrasound examination. Of the 16 cases, 12 cases underwent vaginal septum resection and hysteroscopic transcervical resection of septum （TCRS）, 2 cases underwent lysis of pelvic adhesions, vaginal septum resection and hysteroscopic transcervical resection of septum, and 2 unmarried cases underwent hysteroscopy in women with intact-hymen. All the 16 cases underwent the surgery successfully. Conclusion Hysteroscopy in combination with B-ultrasound examination is a major option for duplex uterus diagnosis, and hysteroscopic transcervical resection of septum and vaginal septum resection under B-ultrasound monitoring is the primary surgery treatment alternative for duplex uterus.
