: . - () , -

1

klimanov.org

klimanov.orgklimanov.org

3

klimanov.orgGalamb , Peth B, Fekete D, Petrnyi G, Pajor A. [Uterine anomalies in women with recurrent pregnancy loss]. Orv Hetil. 2015 Jul 5;156(27):1081-4. doi: 10.1556/650.2015.30136. Hungarian. PubMed PMID: 26122902.

, .klimanov.org

5

.klimanov.org

6

2005. Bettocchi ( ) 1000

klimanov.org

7

5 7,5

1,4 5

klimanov.org

9

, ( )klimanov.org

10

Lieng M, Istre O, Qvigstad E. Treatment of endometrial polyps: a systematic review. Acta Obstet Gynecol Scand. 2010 Aug;89(8):992-1002. doi: 10.3109/00016349.2010.493196. Review. PubMed PMID: 20528202.

.

Ghahiry AA, Refaei Aliabadi E, Taherian AA, Najafian A, Ghasemi M. Effectiveness of hysteroscopic repair of uterine lesions in reproductive outcome. Int J Fertil Steril. 2014 Jul;8(2):129-34. Epub 2014 Jul 8. PubMed PMID: 25083176; PubMed Central PMCID: PMC4107685

Di Spiezio Sardo A, Di Carlo C, Minozzi S, Spinelli M, Pistotti V, Alviggi C, De Placido G, Nappi C, Bifulco G. Efficacy of hysteroscopy in improving reproductive outcomes of infertile couples: a systematic review and meta-analysis. Hum Reprod Update. 2016 Jun;22(4):479-96. doi: 10.1093/humupd/dmw008. Epub 2016 Mar 23. Review. PubMed PMID: 27008893.

klimanov.org

:

klimanov.org

klimanov.org

IBS Integrated BigattiShaver

IBS - Software

Double window bladeN6 Flute beakN7 Shark Jaws25 mm2 window

Removal ofEndometrialPolyps: Hysteroscopic Morcellation versus Bipolar Resectoscopy, A Randomized Trial.Hamerlynck TW, Schoot BC, van Vliet HA, Weyers S.J Minim Invasive Gynecol. 2015 Jul 17.

klimanov.org

16

klimanov.org

:

:

klimanov.org

, , , , , , . , , .18

klimanov.org

, , , , , , . , , .19

2011 10 . 104 . . 26 , 16 . 104 4 (3,85%).

Dr. Hisao Osada

klimanov.org

klimanov.org

, , , -

klimanov.org

*A.Golan GnRH analogues in the treatment of uterine Fibroids Human Reproduction Volume 11 Supplement 3 1996

, .

Klatsky PC, Tran ND, Caughey AB, Fujimoto VY. Fibroids and reproductive outcomes: a systematic literature review from conception to delivery. Am J Obstet Gynecol 2008;198:35766.klimanov.org

41% 19% .

Buttram VC Jr, Reiter RC. Uterine leiomyomata: etiology, symptomatology, and management. Fertil Steril 1981;36:4335.klimanov.org

1 ()2 ()3 () n=89n=72n=72 13 (14,6%)**44 (61,1%) ###9 (12,5%) 7 (7,8%)**18 (25% ) ###4 (5,5%) 6(7,4%)*5(9,25%) #4(5,8%) 68 (82,9%)*###43(79,6%) ###11 (16,2%) 13(16,0%)#9(16,6%) #8(11,7%)11(12,4%)**14(25,0%) ##7(10,3%) 2 (2,2%)2(2,7%)1(1,4%)

*- 2 , p