当院における挙児希望患者に対する子宮鏡下手術199例の検討

抄録

Objective: To determine the efficacy and safety of hysteroscopic surgery in women with infertility admitted to our hospital.

Design: Retrospective study.

Setting: Department of Obstetrics & Gynecology at a general hospital.

Patients: This study included 199 women with infertility who underwent hysteroscopic surgery for intrauterine lesions at our hospital between August 2012 and July 2017.

Intervention: Hysteroscopic surgery.

Main Results: The mean age of the women in this study was 36.5±4.2 years and 163 (81.9%) were nulliparous. Malignancy was detected postoperatively in 5 of the 199 (2.5%) women. One woman underwent an additional operation, whereas the other 4 received medroxyprogesterone acetate and continued with treatment for infertility. Notably, 70 of 122 (57.4%) women successfully conceived within a year of surgery; however, among these 70, miscarriage occurred in 10 women. Detailed obstetric data were available for 46 women with live births following surgery. Among these 46 women, 19 underwent a cesarean section. No detrimental effects were observed on reproductive and obstetric outcomes.

Conclusions: Hysteroscopic surgery was safely and effectively performed in women with infertility admitted to our hospital. Hysteroscopic surgery may contribute to successful treatment of infertility in women with intrauterine lesions.