Aytekin TOKMAK, Hüseyin YEŞİLYURT, Şevki ÇELEN, Ali Özgür ERSOY

İntrauterin patoloji nedeniyle operatif histeroskopi uygulanan infertil hastalarda üreme sonuçlarının değerlendirilmesi

Amaç: Bu çalışmada uterin septum, endometrial polip, submüköz miyom ve intrauterin adezyon tanıları ile operatif histeroskopi (HS) uygulanan infertil hastaların üreme sonuçlarını değerlendirmeyi amaçladık. Yöntemler: Histerosalpinjografi veya ofis HS ile uterin septum (grup 1), endometrial polip (grup 2), submüköz miyom (grup 3) ve intrauterin adezyon (grup 4) tanısı konulan ve Ocak 2009-2013 tarihleri arasında operatif HS ile tedavi edilen 18-35 yaş arasındaki primer veya sekonder infertil 334 hasta bu retrospektif çalışmaya dahil edildi. Gebelik sonuçları hasta dosyalarından ve hastane veri tabanından, bu mümkün olmadığında ise hastalar telefon ile sorgulanarak elde edildi. Ardından gruplar klinik özellikleri, prognozları ve gebelik sonuçları açısından karşılaştırıldı. Bulgular: İntrauterin patoloji nedeniyle operatif HS uygulanan infertil hastalarda kümülatif gebelik oranı 58,7% idi. Tüm gruplarda operasyon-gebelik arası süre ortalama 10,8 ± 9,6 ay idi. Olguların ortalama yaşı ve infertilite süresi ile infertilite tipi ve sigara içme durumu gruplar arasında istatistiksel anlamlı olarak farklıydı (p

Assessment of reproductive results of infertile patients who had undergone operative hysteroscopy for intrauterine pathology

Objectives: We aimed to evaluate the reproductive outcomes of infertile patients who had undergone operative hysteroscopy (HS) with the diagnoses of uterine septum, endometrial polyp, submucous myoma, and intrauterine adhesion.Methods: This retrospective study included 334 patients who had been diagnosed with primary and secondary infertility, aged between 18-35 years and diagnosed with uterine septum (group 1), endometrial polyp (group 2), submucous myoma (group 3), and intrauterine adhesion (group 4) by hysterosalpingography or office HS and who were treated via hysteroscopic operation between January 2009 and January 2013. Pregnancy results were obtained from the patients' files and hospital database; when this was not possible, the patients were queried by phone calls. Groups were then compared in terms of characteristics, prognoses, and pregnancy outcomes.Results: The cumulative pregnancy rate was 58.7% in infertile patients who underwent operative HS due to intrauterine pathology. The mean length of time from operation to conception was 10.8±9.6 months in all groups. Mean age, infertility duration, infertility type, and smoking status were statistically different among the groups (p

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