ᐔᚑ㪉㪉ᐕᐲෘ↢ഭ௛⑼ቇ⎇ⓥ⾌⵬ഥ㊄䋨ᚑ⢒∔ᖚస᦯╬ᰴ਎ઍ⢒ᚑၮ⋚⎇ⓥ੐ᬺ䋩㩷㩷 ಽᜂ⎇ⓥႎ๔ᦠ㩷㩷ಽᜂ⺖㗴䋺ሶችᄸᒻ䉕ᜬ䈧෻ᓳᵹ↥ᖚ⠪䈱ᅧᆼᏫ⚿⺞ᩏ㩷㩷 ᚻⴚ䍃㕖ᚻⴚ䈱Ყセᄙᣉ⸳౒ห⎇ⓥ㩷

㩷ਥછ⎇ⓥ⠪㩷 㥲⮮㩷 ṑ㩷 ንጊᄢቇᄢቇ㒮කቇ⮎ቇ⎇ⓥㇱᢎ᝼㩷ಽᜂ⎇ⓥ⠪㩷 ᧖ᶆ⌀ᑿ㩷 ฬฎደᏒ┙ᄢቇᄢቇ㒮කቇ⎇ⓥ⑼ᢎ᝼㩷ಽᜂ⎇ⓥ⠪㩷 ┻ਅବⴕ㩷 ᣣᧄක⑼ᄢቇᢎ᝼㩷⎇ⓥදജ⠪㩷 ᧖㩷 ବ㓉㩷 ᧲ᶏᄢቇකቇㇱ㕖Ᏹൕᢎ᝼㩷ಽᜂ⎇ⓥ⠪㩷 ਣጊືᄦ㩷 ᘮᙥ⟵Ⴖᄢቇකቇㇱ⻠Ꮷ㩷ಽᜂ⎇ⓥ⠪㩷 ዊỈિᤩ㩷 ࿖┙ᚑ⢒ක≮⎇ⓥ䉶䊮䉺䊷ක㐳㩷ಽᜂ⎇ⓥ⠪㩷 ਛႦᐙ਽㩷 ጟጊᄢቇᄢቇ㒮଻ஜቇ⎇ⓥ⑼ᢎ᝼㩷ಽᜂ⎇ⓥ⠪㩷 ⮮੗ବ╷㩷 䉃䈧✚ว∛㒮↥⑼ᇚੱ⑼↥⑼ㇱ㐳㩷⎇ⓥදജ⠪㩷 ⷏↰ᱜੱ㩷 㔰䊱ᶆක≮䉶䊮䉺䊷∛㒮㐳㩷⎇ⓥදജ⠪㩷 ᨋ㩷 ଻⦟㩷 ᎹፒᏒ┙Ꮉፒ∛㒮ᇚੱౝⷞ㏜⑼ㇱ㐳㩷㩷⎇ⓥⷐᣦ
㩷ሶችᄸᒻߦኻߒߡᚻⴚ߇ታᣉߐࠇߡ޿ࠆ߇‫ޔ‬ਇ⢒∝ᖚ⠪ߦኻߔࠆሶችᒻᚑⴚ߇↢ఽ₪ᓧ㩷ߦነਈߒߡ޿ࠆߣ޿߁ࠛࡆ࠺ࡦࠬߪߥ޿‫ޕ‬ਛ㓒ሶችߦኻߔࠆౝⷞ㏜⊛ਛ㓒ಾ㒰ⴚߪ↢ఽ㩷㩷₪ᓧߩߚ߼ߦ᦭ലߢ޽ߞߚ‫ޕ‬෺ⷺሶችߦኻߔࠆᒻᚑⴚߩ᦭ലᕈߪ᣿ࠄ߆ߦߢ߈ߥ߆ߞߚ‫ޕ‬㩷ᧄ⎇ⓥߪᚻⴚߩ᦭ലᕈࠍ 'XKFGPEGNGXGN++ ߩ⎇ⓥ࠺ࠩࠗࡦߦࠃߞߡ਎⇇ߢೋ߼ߡ␜ߔ㩷ߎߣ߇಴᧪ߚ‫ޕ‬㩷㩷㪚㪅㩷 ⎇ⓥ⚿ᨐ㩷㪘㪅㩷 ⎇ⓥ⋡⊛㩷䇸ਇ⢒∝䈮䈍䈔䉎ሶችᄸᒻ䈱 㫀㫄㫇㪸㪺㫋䇹⎇ⓥ䈮䉋䉍෺ⷺ㪉㪉㪎㩷 ੱ䈏ሶችᄸᒻ䉕ᜬ䈧ਇ⢒∝ᖚ⠪䈫䈚䈩⊓㍳䈘䉏ሶች䇮ਛ㓒ሶች䈏ᰴ࿁ᅧᆼ䈮ᓇ㗀䈏䈅䉎䈖䈫䈏᣿䉌䈢䇯㩷 ᖚ⠪⢛᥊䈲 㪫㪸㪹㫃㪼㪈 䈮␜䈚䈢䇯㪌㪍㩷 ੱ䈲෺ⷺሶች䈎䈮䈭䈦䈢䇯䈖䉏䉌䈱ሶችᄸᒻ䈮ኻ䈚ᒻᚑᚻⴚ䈏ታ䋨㪈 ฬ䈲ォᐳ଻࿃⠪䋩䇮㪈㪋㪌 ੱ䈲ਛ㓒ሶች䇮㪈㪉㩷 ੱ䈲නᣉ䈘䉏䈩䈇䉎䈏䇮ว૬∝䉅䈅䉍䇮ᚻⴚ䈏↢ఽ₪ᓧ䈮ⷺሶች䇮㩷 㪈㪋 ੱ䈲㊀ⶄሶች䈣䈦䈢䇯㩷ነਈ䈚䈩䈇䉎䈎䈬䈉䈎ᬌ⸛䈚䈢ႎ๔䈲਎⇇ਛ䈮ሽ࿷㩷 ਛ㓒ሶች䈱 㪊㪐 ੱ䈲㐿⣻ᒻᚑᚻⴚ䇮㪏㪏 ੱ䈲 㪫㪚㪩 䉕䈚䈭䈇䇯㩷ฃ䈔䈢䇯㩷 ෺ⷺሶች䈱 㪈㪍 ੱ䈲㐿⣻ᒻᚑᚻⴚ䇮㪊 ੱ䈲㪫㪚㪩 䉕ฃ䈔䈢䇯නⷺሶች䈱 㪈 ੱ䈲㐿⣻ᒻᚑᚻⴚ䉕ฃ㩷䈔䈢䇯㩷㪙㪅㩷 ⎇ⓥᣇᴺ㩷㩷 ᅧᆼᏫ⚿䈲 㪫㪸㪹㫃㪼㩷 㪉 䈮␜䈚䈢䇯ਛ㓒ሶች䈮䈧䈇䈩䇮㪉㪇㪇㪉 ᐕ 㪈 ᦬䈎䉌 㪉㪇㪇㪎 ᐕ 㪈㪉 ᦬䈮ਇ⢒∝♖ᩏ䈱䈢䉄ᚻⴚ⟲ 㪏㪈㪅㪊㩷㩼㩷㩿㪎㪏㪆㪐㪍㪀䇮㕖ᚻⴚ⟲ 㪌㪊㪅㪏㩷㩼㩷㩿㪎㪆㪈㪊㪀䈏⸻ᢿ䈮ฃ⸻䈚䈢ᖚ⠪䈮ሶችෆ▤ㅧᓇ䉕ⴕ䈇෺ⷺሶች䇮ਛᓟೋ࿁ᅧᆼ䈪಴↥䈪䈐䈢㩿㫇㪔㪇㪅㪇㪉㪌㪀䇯෺ⷺሶች䈮䈧䈇㓒ሶች䇮නⷺሶች䇮㊀ⶄሶች䉕ᜬ䈧ᖚ⠪䉕䉣䊮䊃䊥䊷䈩䇮ᚻⴚ⟲ 㪍㪍㪅㪎㩷㩼㩷㩿㪏㪆㪈㪉㪀䇮㕖ᚻⴚ⟲ 㪎㪌㪅㪇㩷㩼㩷㩿㪉㪈㪆㪉㪏㪀䈏䈚䇮ᚻⴚ䊶Ყ㩷⸻ᢿᓟೋ࿁ᅧᆼ䈪಴↥䈪䈐䈢㩿㪥㪪㪀䇯නⷺሶች䈮䈧䈇ᚻⴚ଀䈮䈧䈇䈩㩷䈩䇮ᚻⴚ䉕䈚䈢䉅䈱䉕฽䉄䈩㩷 ᅧᆼ䈚䈢 㪍 ੱ䈲䈜䈼䈩㽲 ⸻ᢿᓟೋ࿁ᅧᆼᚑഞ₸㩷಴↥䈪䈐䈢䇯㊀ⶄሶች䈮䈧䈇䈩䇮㪋㪌㪅㪌㩷㩼㩷㩿㪌㪆㪈㪈㪀䈏⸻ᢿ㽳 ਇᅧ∝₸㩷ᓟೋ࿁ᅧᆼ䈪಴↥䈪䈐䈢䇯㩷㽴 ⚥Ⓧ↢ఽ₪ᓧ₸㩷㩷 ⷰኤᦼ㑆ਛ䈱⚥Ⓧ↢ఽ₪ᓧ₸䈲䇮෺ⷺሶችᚻⴚ䉕Ყセᬌ⸛䈚䈢䇯ᧄ⎇ⓥ䈲ฬฎደᏒ┙ᄢቇ୶ℂᆔຬળ䈱ᛚ⹺䉕ᓧ䈢䇯㩷⟲ 㪎㪌㪅㪇㩷㩼㩷㩿㪐㪆㪈㪉㪀䇮㕖ᚻⴚ⟲ 㪏㪉㪅㪈㩷㩼㩷㩿㪉㪊㪆㪉㪏㪀䇮ਛ㓒ሶች㩷ᚻⴚ⟲ 㪏㪌㪅㪋㩷㩼㩷㩿㪏㪉㪆㪐㪍㪀䇮㕖ᚻⴚ⟲ 㪍㪈㪅㪌㩷㩼㩷㩿㪏㪆㪈㪊㪀䈪䈅䈦㩷䈢䇯㩷61㩷 ⷰኤᦼ㑆ਛ䈱ਇᅧ₸䈲෺ⷺሶችᚻⴚ⟲ 㪈㪋㪅㪊㩷 㩼䇮㕖ᚻⴚ⟲ 㪍㪅㪎㩷 㩼䇮ਛ㓒ሶችᚻⴚ⟲ 㪈㪉㪅㪎㩷 㩼䇮㕖ᚻⴚ⟲㪈㪊㪅㪊㩷㩼䈪䈅䈦䈢䇯㩷ⷰኤᦼ㑆ਛ䈱䈜䈼䈩䈱ᖚ⠪䈅䈢䉍䈱↢ఽ₪ᓧ₸䈲෺ⷺሶችᚻⴚ⟲ 㪍㪋㪅㪊㩷 㩼䇮㕖ᚻⴚ⟲ 㪎㪍㪅㪎㩷 㩼䇮ਛ㓒ሶችᚻⴚ⟲ 㪎㪋㪅㪌㩷㩼䇮㕖ᚻⴚ⟲ 㪌㪊㪅㪊㩷㩼䈪䈅䈦䈢䇯㩷㩷䌄䋮⠨ኤ㩷㩷 ਛ㓒ሶች䈮䈍䈇䈩䈲ᚻⴚ䈮䉋䈦䈩䇮⸻ᢿᓟೋ࿁ᅧᆼ䇮⚥Ⓧ↢ఽ₪ᓧ₸䈫䉅䈮ᡷༀ䈘䉏䉎䈖䈫䈏᣿䉌䈎䈮䈭䈦䈢䇯㩷㩷 ሶችᄸᒻ䈮ኻ䈜䉎㐿⣻ᒻᚑᚻⴚ䈲 㪈㪏㪏㪉 ᐕ䈮ႎ๔䈘䉏䈢䇯䈠䈱ᓟⴚᑼ䈱Ꮏᄦ䈏䈭䈘䉏䇮ਛ㓒ሶች䈮ኻ䈚䈩䈲ౝⷞ㏜䈮䉋䉎ਛ㓒ಾ㒰䈏ਥᵹ䈪䈅䉎䇯䈖䈱ᚻⴚ䈲㐿⣻䈮Ყセ䈚䈩⽶ᜂ䈏ዋ䈭䈒䇮䈚䈳䈚䈳ⴕ䉒䉏䈩䈐䈢䇯䈚䈎䈚䇮ኻᾖ䈏⸳ቯ䈘䉏䈩䈇䈭䈇⎇ⓥ䈚䈎䈭
䈒䇮ᧄ⎇ⓥ䈪ೋ䉄䈩ᚻⴚ䊶㕖ᚻⴚ䈱Ყセ䈏಴᧪䈢ᗧ⟵䈲ᭂ䉄䈩ᄢ䈐䈇䇯㩷㩷 ᚻⴚᓟ䈱ਇᅧ∝䉅ᔃ㈩䈘䉏䈢䈏䇮ᧄ⎇ⓥ⚿ᨐ䈮䉋䉏䈳ᚻⴚ䈱ᓇ㗀䈲䈘䈾䈬ᄢ䈐䈇䈫⠨䈋䈭䈒䈩䈇䈇䈫ᕁ䉒䉏䈢䇯㩷㩷 䉁䈢䇮෺ⷺሶች䈲㐿⣻ᚻⴚ䈏ⴕ䉒䉏䈩䈇䉎䈏䇮↢ఽ₪ᓧ₸䈏ᡷༀ䈪䈐䈭䈇䈖䈫䈏᣿䉌䈎䈮䈭䈦䈢䇯㩷㩷 ⃻࿷䇮෺ⷺሶች䇮ਛ㓒ሶች䇮ᑿ⁁ሶች䉕㐓೎䈜䉎਎⇇ᮡḰ⊛ၮḰ䈏ሽ࿷䈚䈭䈇䇯䉁䈢䇮ᧄ⎇ⓥ䈱ᣉ⸳䈪䈱⸻ᢿᣇᴺ䇮ⴚᑼ䈱⛔৻䉅࿎㔍䈪䈅䈦䈢䇯䈢䈣䈚䇮ሶችᄸᒻ䉕 㪉㪉㪎 ੱ㓸䉄䈩⸃ᨆ䈚䈢⎇ⓥ䈫䈇䈉ⷞὐ䈪䉅ᧄ⎇ⓥ䈲਎⇇䈪ೋ䉄䈩䈱⾆㊀䈭⎇ⓥ䈪䈅䉎䇯㩷㩷 ᧄ⎇ⓥ䉕䈐䈦䈎䈔䈮਎⇇䈱ᄙᣉ⸳⎇ⓥ䈮䉋䉎䈘䉌䈮∝଀ᢙ䈱ᄙ䈇 㪺㪸㫊㪼㪄㪺㫆㫅㫋㫉㫆㫃㩷㫊㫋㫌㪻㫐 䈏ᓙ䈢䉏䉎䇯㩷㩷䌅䋮⚿⺰㩷㩷 ਛ㓒ሶች䈮ኻ䈜䉎ౝⷞ㏜⊛ਛ㓒ಾ㒰ⴚ䈲↢ఽ₪ᓧ䈱䈢䉄䈮᦭ല䈪䈅䉎䇯෺ⷺሶች䈮ኻ䈜䉎ᒻᚑⴚ䈱᦭ലᕈ䈲᣿䉌䈎䈮䈪䈐䈭䈎䈦䈢䇯㩷㩷䌆䋮ஜᐽෂ㒾ᖱႎ㩷䈭䈚㩷㩷䌇䋮⎇ⓥ⊒⴫㩷㪈㪅 ⺰ᢥ⊒⴫㩷ᛩⓂਛ㩷㪉㪅 ቇળ⊒⴫㩷⊒⴫Ḱ஻ਛ㩷㩷62㩷㩷㩷㩷㩷㩷㩷㩷㩷㩷㩷㩷㩷㩷㩷㩷㩷㩷㩷㩷㩷㩷㩷㩷㩷
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Table 1

Baseline characteristics of patients with congenital uterine anomalies
Patients

receiving

Patients

receivingpsurgeryno surgery(n=147)(n=80)

33.0 (4.5)

32.0 (4.3)

NS

2.73 (1.59)

2.68 (1.04)

NS016214225235

33528

42585946117408009100.22 (0.60)

0.13 (0.43)0123731194243510

No. of previous live

0.12 (0.44)

0.09 (0.28)

013373

11273

2

0

0.97 (1.0)

0.74 (0.74)

Maternal age
Mean (SD)
Number of previous
miscarriages

No.

ofpreviousNS

stillbirths

NSbirths*

TheD/C

ratio

NS

before surgery*Including preterm births

63

Table 2 Comparison of successful pregnancy outcomes between patients with andwithout surgery
Bicornuate (n=56)

Septum (n=145)
pWith

Withoutsurgery

surgerysurgery(n=19)(n=37)(n=127)(n=18)

Mean age (SD)

32.0 (4.0)

31.1 (4.3)

NS

33.0 (4.2)

33.2 (4.1)

NS

No. of previous

2.79 (1.99)

2.80 (1.11)

NS

2.72 (1.54)

2.89 (1.05)

NS

0.37 (1.16)

0.14 (0.49)

NS

0.20 (0.47)

0.11 (0.32)

NS

0.16 (0.37)

0.06 (0.24)

NS

0.12 (0.45)

0.11 (0.32)

NS1434*115**

15

Live birth rate

66.7 %

75.0 %

81.3 %

53.8 %

at(8/12)(21/28)(78/96)(7/13)

0/0

1/4

1/1

2/3

2 (14.3 %)2 (6.7 %)

142 (13.3 %)NS

85.4 %

61.5 %

0.049(82/96)(8/13)

74.5 %

53.3 %(82/110)(8/15)

With

Without

surgeryp

miscarriages
No. of previous
stillbirths
No. of previous
live births
No. of patients
whocouldbefollowed up

thefirstNS

0.025

pregnancy after
examination
Abnormalembryonic
karyotype
Infertile

after

NS

diagnosis***(12.7 %)

Cumulative live

75.0 %

82.1 %

birth rate

(9/12)(23/28)Cumulative live

64.3 %

76.7 %

birth(9/14)***(23/30)rateperNSNS

0.086

patient*One patient with a bicornuate uterus was terminated at 20 weeks’ gestation because of fetal anomaly.
One patient with a bicornuate uterus and translocation miscarried because of unbalanced
chromosomes.

**One couple did not try to conceive. These cases were all excluded from the analysis.

***Infertile was determined as not pregnant after one year trying to conceive.
7 patients are trying to conceive now. We could not follow up outcomes of 27 patients after diagnosis.

64