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雑誌文献

臨床婦人科産科74巻12号

2020年12月発行

文献概要

今月の臨床 着床環境の改善はどこまで可能か?―エキスパートに聞く最新研究と具体的対処法 婦人科疾患による着床不全の機序とその対処法

中隔子宮の影響と対処法

著者: 栗林靖1

所属機関: 1杉山産婦人科丸の内

ページ範囲:P.1290 - P.1295

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●これからの中隔子宮の診断は,腹腔鏡と子宮鏡の併用ではなく,より侵襲性が低い,子宮鏡検査と画像診断(3D超音波とソノヒステログラフィの併用,MRI)併用が強く勧められる.

●中隔子宮を有する女性は1st Trimesterにおける流産率が高い.

●子宮鏡下中隔切除術は,不育症患者の流産率の低下と出生率の改善に寄与する.

●中隔子宮の種類や大きさの違いは,妊孕性および周産期合併症の異常に関係しない.

参考文献

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12)Tomaževič T, et al : Small uterine septum is an important risk variable for preterm birth. Eur J Obstet Gynecol Reprod Biol 135 : 154-157, 2007
13)Woelfer B, et al : Reproductive outcomes in women with congenital uterine anomalies detected by three-dimensional ultrasound screening. Obstet Gynecol 98 : 1099-1103, 2001
14)Shokeir T, et al : Determinants of fertility and reproductive success after hysteroscopic septoplasty for women with unexplained primary infertility : a prospective analysis of 88 cases. Eur J Obstet Gynecol Reprod Biol 155 : 54-57, 2011
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掲載誌情報

出版社:株式会社医学書院

電子版ISSN:1882-1294

印刷版ISSN:0386-9865

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