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| Effect comparison of cold knife operation and electrosurgical resection for treating incomplete uterine septum |
| The Seventh People's Hospital of Zhengzhou City, Zhengzhou, Henan Province, 450000 |
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Abstract To compare the effect of cold knife operation and electrosurgical resection for treating incomplete uterine septum.Methods: A total of 80 patients with incomplete uterine septum were selected and were randomly divided into observation group (40 cases) and control group (40 cases).Surgery was performed in 3-7 days after the menstruation.The patients in the control group were given electrosurgical resection of the incomplete uterine septum, and the patients in the observation group were given knife surgery of the incomplete uterine septum.Hysteroscopy or water-contrast ultrasound was performed for evaluated the clinical efficacy on the patients in the two groups in the 3rd month after the operation.The operation time, the blood loss, the intrauterine adhesions situation, and the intraoperative complications of the patients were compared between the two groups.The levels of luteinizing hormone (LH), follicle stimulating hormone (FSH), and estradiol (E2), the complications rate, and the pregnancy outcomes of the patients in the two groups before treatment and 3 months after treatment were compared.Results: The total effective rate (95.0%) of the patients in the observation group was significantly higher than that (75.0%) of the patients in the control group, the operation time (15.2±3.3 min) of the patients in the observation group was significantly shorter than that (25.4±5.8 min) of the patients in the control group (all P＜0.05).The LH and FSH levels of the patients in the observation group were significantly lower than those of the patients in the control group, but the E2 level of the patients in the observation group was significantly higher (all P＜0.05).There was no significant difference in the total incidence of complications (5.0% vs.12.5%) of the patients between the two groups (P＞0.05).The normal delivery rate (90.0%) of the patients in the observation group was significantly higher than that (67.5%) of the patients in the control group, and the spontaneous abortion rate (10.0%) of the patients in the observation group was significantly lower than that (32.5%) of the patients in the control group (all P＜0.05).There were no any patient with stillbirths occurred in both groups.Conclusion: Both cold knife surgery and electrical resection can effectively treat the uterine septum.However, cold knife surgery can increase the rate of nature delivery and reduce the rate of spontaneous abortion with the simpler operation.
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