Journal of Shandong University (Health Sciences) ›› 2019, Vol. 57 ›› Issue (10): 38-44.doi: 10.6040/j.issn.1671-7554.0.2019.807

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Application and key points of hysteroscopic surgery in assisted reproductive technology

LI Xiaojuan, DUAN Haixia   

  1. Department of Assisted Reproduction Gynecology, Northwest Women and Childrens Hospital of Xi an Jiaotong University, Xi an 710000, Shaanxi, China
  • Published:2022-09-27

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Abstract: Intrauterine lesion is one of the common causes of infertility and may lead to failure of assisted reproductive 山 东 大 学 学 报 (医 学 版)57卷10期 -李小娟,等.辅助生殖治疗中宫腔镜手术应用及注意问题 \=-technology(ART). Hysteroscopic technique is the “gold standard” and main approach for the diagnosis and treatment of intrauterine lesions, which can improve the pregnancy rate of ART. However, with the wide application of hysteroscopic techniques, the complications caused by energy devices are increasingly common and serious. Endoscopic doctors are urged to pay more attention to the safety and efficiency of hysteroscopic techniques. To this end, “cold knife” technique emerges. This technique not only protects the endometrium, but also reduces hospitalization rate and improves medical efficiency. At present, various different “cold knife” techniques are constantly being explored and expected to be a new trend of hysteroscopic surgery.

Key words: Hysteroscopic surgery, Cold knife treatment, Intrauterine lesion, Fertility preservation

CLC Number: 

  • R713.4
[1] 潘晓平. 宫腔镜对宫腔内病变导致的不孕不育症患者的诊疗价值分析[J]. 现代实用医学, 2016, 28(9): 1210-1212.
[2] 付一元. 宫腔镜治疗宫腔因素不孕不育患者的疗效及生殖预后改善情况[J]. 齐齐哈尔医学院学报, 2017, 38(4): 424-425.
[3] Salazar CA, Isaacson KB. Office operative Hysteroscopy: An update[J]. J Minim Invasive Gynecol, 2018, 25(2): 199-208.
[4] Bosteels J, Kasius J, Weyers S, et al. Hysteroscopy for treating subfertility associated with suspected major uterine cavity abnormalities[J]. Cochrane Database Syst Rev, 2015, 21(2): CD009461.
[5] 李瑞娟, 夏恩兰.阴道内镜与传统宫腔镜检查临床应用的比较[J]. 中国内镜杂志, 2015, 21(10): 1019-1022. LI Ruijuan, XIA Enlan. Comparison on clinical application of vaginoscopy with traditional hysteroscopy[J].China Journal of Endoscopy, 2015, 21(10): 1019-1022.
[6] 夏恩兰. 宫腔镜手术并发症的过往及现状[J/CD].中华妇幼临床医学杂志(电子版), 2016, 12(3): 249-254. XIA Enlan. Hysteroscopy surgery complications:past and present situations[J]. Chinese Journal of Obstetrics & Gynecology and Pediatrics(Electronic Edition), 2016, 12(3):249-254.
[7] 冯力民. 宫腔镜下的世界-从解剖到病理[M]. 北京: 中国协和医科大学出版社, 2018: 8-9.
[8] 谢红艳, 吴文清, 周蔚. 门诊宫腔镜下子宫纵隔剪除术的可行性分析[J]. 中国内镜杂志, 2011, 17(4): 404-406. XIE Hongyan, WU Wenqing, ZHOU Wei. Analysis of feasibility of hysteroscopic incision of the uterine septum with scissors in outpatient department[J]. China Journal of Endoscopy, 2011, 17(4): 404-406.
[9] 梅松原, 魏金花, 石岩, 等. 日间宫腔镜子宫内膜息肉切除术42例临床体会[J]. 中国微创外科杂志, 2015, 15(7): 616-618. MEI Songyuan,WEI Jinhua, SHI Yan, et al. Clinical review of 42 cases of ambulatory hysteroscopy endometrial polyp electrocision[J]. Chinese Journal of Minimally Invasive Surgery, 2015, 15(7): 616-618.
[10] 韦红兰, 林忠, 吴秀芬, 等. 宫腔镜冷刀治疗有生育要求患者宫腔良性病变的临床分析[J]. 中国社区医师, 2017, 33(35): 67-68. WEI Honglan, LIN Zhong, WU Xiufen, et al. Clinical analysis of hysteroscopoc cold knife in the treatment of benign uterine lesions in patients with fertility requirements[J]. Chinese Community Doctors, 2017, 33(35): 67-68.
[11] 夏恩兰. 宫腔镜手术操作及实例精选演示[M]. 沈阳: 辽宁科学技术出版社, 2015: 96.
[12] 植枝福, 蒋晓莉, 覃桂荣, 等. 宫腔镜剪刀在宫腔粘连分离中的应用[J]. 微创医学, 2014, 9(5): 573-575. ZHI Zhifu, JIANG Xiaoli, QIN Guirong, et al. The application of hysteroscopic scissors in adhesiolysis of inteauterine adhesion[J]. Journal of Minimally Invasive Medicine, 2014, 9(5): 573-575.
[13] 马宁, 黄晓武, 周巧云, 等. 宫腔镜子宫纵隔冷刀手术与电切术对子宫内膜影响的对比研究[J]. 国际生殖健康/计划生育杂志, 2017, 36(3): 204-207,265. MA Ning, HUANG Xiaowu, ZHOU Qiaoyun, et al. Comparative study on endometrium reepithelialization after surgery of uterine septumsing hyteroscopic scissors and resectoscope[J]. Journal of International Reproductive Health/Family Planning, 2017, 36(3): 204-207,265.
[14] Mazzon I, Favilli A, Cocco P, et al. Does cold loop hysteroscopic myomectomy reduce intrauterine adhesions—a retrospective study[J]. Fertil Steril, 2014, 101(1): 294-298.
[15] Hamerlynck TW, Blikkendaal MD, Schoot BC, et al. An alternative approach for removal of placental remnants: hysteroscopic morcellation[J]. J Minim Invasive Gynecol, 2013, 20(6): 796-802.
[16] 宋雪凌, 杨艳, 张佳佳, 等. 子宫异位妊娠应用刨削系统治疗的临床疗效观察[J]. 实用妇产科杂志, 2017, 33(12): 945-947.
[17] Hamerlynck TW, Blikkendaal MD, Schoot BC, et al. An alternative approach for removal of placental remnants: hysteroscopic morcellation[J].J Minim Invasive Gynecol, 2013, 20(6): 796-802.
[18] 斯琴. 宫腔镜电切术治疗子宫内膜息肉所致异常子宫出血的有效性[J]. 中外女性健康研究, 2017, 22: 62-63,67.
[19] Hooker AB, Lemmers M, Thurkow AL, et al. Systematic review and meta-analysis of intrauterine adhesions after miscarriage: prevalence, risk factors and long-term reproductive outcome[J]. Hum Reprod Update, 2014, 20(2): 262-278.
[20] 夏恩兰. 宫腔镜学及图谱[M].3版 郑州: 河南科学技术出版社, 2016: 201-208.
[21] 李奔奔, 阮玉玲, 刘梅. HEOS冷刀宫腔镜系统犁田式分离中至重度宫腔粘连临床研究[J]. 实用妇科内分泌电子杂志, 2019, 13(6):89-90.
[22] 中华医学会妇产科学分会. 宫腔粘连临床诊疗中国专家共识[J]. 中华妇产科杂志, 2015, 50(12): 881-887.
[23] Munro MG, Critchley HO, Broder MS, et al. FIGO classification system(PALM-COEIN)for causes of abnormal uterine bleeding in nongravid women of reproductive age[J]. Int J Gynaecol Obstet, 2011, 113(1): 3-13.
[24] 夏恩兰, 段华, 黄晓武, 等. 宫腔镜电切术治疗子宫肌瘤926例疗效分析[J]. 中华医学杂志, 2005, 85(3): 173.
[25] Moawad NS, Mahajan ST, Moniz MH, et al. Current diagnosis and treatment of interstitial pregnancy[J]. Am J Obstet Gynecol, 2010, 202(1): 15-29.
[26] Shekhar S, Verma S, Motey R, et al. Hysterotomy for retained placenta with imminent uterine rupture in a preterm angular pregnancy[J]. Acta Obstet Gynecol Scand, 2010, 89(12): 1615-1616.
[27] NG S, Hamontri S, Chua I, et al. Laparoscopic management of 53 cases of cornual ectopic pregnancy[J]. Fertil Steril, 2009, 92(2): 448-452.
[28] MA JL, ZHENG J, XIA EL. Hysteroscopic diagnosis and therapy for abnormal uterine bleeding after early pregnancy abortion-analysis of 90 cases[J]. China Journal of Endoscopy, 2009, 15(8): 853-855.Chinese
[29] 程春霞, 薛敏, 徐大宝. 宫腔镜诊治宫角妊娠13例临床分析[J]. 实用妇产科杂志, 2009, 25(6): 377-378. CHENG Chunxia, XUE Min, XU Dabao. Clinical analysis of 13 angular pregnancies treated hysteroscopically [J]. Journal of Practical Obstetrics and Gynecology, 2009, 25(6): 377-378.
[30] PAL B, Akinfenwa O, Harrington K. Hysteroscopic management of cornual ectopic pregnancy[J]. BJOG, 2003, 110(9): 879-880.
[31] Sanz LE, Verosko J. Hysteroscopic management of cornual ectopic pregnancy[J]. Obstet Gynecol, 2002, 99(5): 941-944.
[32] Kenda Suster N, Gergolet M. Does hysteroscopic metroplasty for septate uterus represent a risk factor for adverse outcome during pregnancy and labor?[J]. Gynecol Surg, 2016, 13: 37-41.
[33] 杨益民, 黄欢, 冯力民, 等. 纵隔子宫诊断与治疗相关临床问题解析[J]. 国际妇产科学杂志, 2017, 44(3): 248-251. YANG Yimin, HUANG Huan, FENG Limin, et al. Analysis of clinical questions related to the diagnosis and treatment of septate uterus[J]. Journal of International Obstetrics and Gynecology, 2017, 44(3): 248-251.
[34] Raga F, Casan EM, Bonilla-Musoles F, et al. Expression of vascular endothelial growth factor receptors in the endometrium of septate uterus[J]. Fertil Steril, 2009, 92(3): 1085-1090.
[35] Kasius A, Smit JG, Torrance HL, et al. Endometrial thickness pregnancy rates after IVF: a systematic review and meta-analysis[J]. Hum Reprod Update, 2014, 20(4): 530-541.
[36] Mahajan N, Sharma S. The endometrium in assisted reproductive technology: how thin is thin? [J]. J Hum Reprod Sci, 2016, 9(1): 3-8.
[37] 郝翠芳, 包洪初, 韩婷. 生殖医学内镜微创技术[M]. 北京: 人民卫生出版社, 2019: 122-127.
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