The clinical diagnosis and treatment of uterus septus infertility patients accompanying with endometriosis

Objective:To investigate the clinical characteristics,diagnosis and treatment of uterus septus infertility patients accompanying with endometriosis.Methods:Retrospective analysis the clinical material of 24 patients diagnosed of uterus septus infertility accompanying with endometriosis.These patients were all registered in Gynecologic Obstetrics Department of Shenzhen Hospital of Beijing University from February 2001 to August 2005.Results:24 uterus septus infertility patients were all accompanied with endometriosis.Their mean age was 28.5 years old.Their clinical symptom all showed infertility,including 16 patients infertility,4 patients menstrual irregularity,4 patients no symptoms and signs~ All patients were treated by surgery(hysteroscopy combined with laparoscopy).The surgeries revealed 7 patients with complete uterus septus,17 patients with incomplete uterus septus.The endometriosis were all remained stage I-II according to ASF-r staging.8 patients showed multiple pelvic endometriosis foci,6 patients showed endometriosis foci in pouch of Douglas,10 patients showed endometriosis foci on uterosacral ligaments.All patients were put in IUD after surgery and were treated by estrogen for 3-6 months.By following-up,10 patients were pregnant and 5 patients labored.Conclusion:The uterus septus infertility patients are easy to accompany with endometriosis and should be diagnosed and treated by surgery early.Hysteroscopy combined with laparoscopy is the optimal surgery choice.Treating by estrogen after surgery is beneficial to the recovery of endometrial,but is harmful to the pelvic endometriosis.If necessary,second laparoscopy should be done to destroy the endometriosis lesions and the treating result is satisfactory.