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  1. 医学科
  2. 産科学婦人科学講座
  3. 学術雑誌掲載論文等(産科学婦人科学講座)

Indication Criteria of Hysteroscopic Surgery for Secondary Infertility due to Symptomatic Cesarean Scar Defect Based on Clinical Outcomes : A Retrospective Cohort Study.

http://hdl.handle.net/10422/00013566
http://hdl.handle.net/10422/00013566
4c798efc-98d7-430f-836c-50561ce7381d
名前 / ファイル ライセンス アクション
j.jmig.2023.03.012.pdf j.jmig.2023.03.012 (723.6 kB)
Item type 学術雑誌論文 / Journal Article(1)
公開日 2023-05-25
タイトル
タイトル Indication Criteria of Hysteroscopic Surgery for Secondary Infertility due to Symptomatic Cesarean Scar Defect Based on Clinical Outcomes : A Retrospective Cohort Study.
言語
言語 eng
キーワード
言語 en
主題Scheme Other
主題 cesarean scar syndrome
キーワード
言語 en
主題Scheme Other
主題 cesarean section
キーワード
言語 en
主題Scheme Other
主題 hysteroscopic surgery
資源タイプ
資源タイプ識別子 http://purl.org/coar/resource_type/c_6501
資源タイプ journal article
著者 TSUJI, Shunichiro

× TSUJI, Shunichiro

WEKO 798
e-Rad 30601546
ORCID 0000-0003-3945-6817

TSUJI, Shunichiro

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NOBUTA, Yuri

× NOBUTA, Yuri

WEKO 8766
e-Rad 60823896

NOBUTA, Yuri

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YONEOKA, Yutaka

× YONEOKA, Yutaka

WEKO 8351
ORCID 0000-0002-8255-6293

YONEOKA, Yutaka

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NAKAMURA, Akiko

× NAKAMURA, Akiko

WEKO 7754
e-Rad 70839430

NAKAMURA, Akiko

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AMANO, Tsukuru

× AMANO, Tsukuru

WEKO 797
e-Rad 20613467
ORCID 0000-0003-2919-6337

AMANO, Tsukuru

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TAKEBAYASHI, Akie

× TAKEBAYASHI, Akie

WEKO 3249
e-Rad 00402735
ORCID 0000-0001-6426-9082

TAKEBAYASHI, Akie

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HANADA, Tetsuro

× HANADA, Tetsuro

WEKO 7548
ORCID 0000-0001-8183-9702

HANADA, Tetsuro

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MURAKAMI, Takashi

× MURAKAMI, Takashi

WEKO 564
e-Rad 20240666
ORCID 0000-0002-0250-0856

MURAKAMI, Takashi

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著者別名 辻, 俊一郎

× 辻, 俊一郎

WEKO 798
e-Rad 30601546
ORCID 0000-0003-3945-6817

辻, 俊一郎

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信田, 侑里

× 信田, 侑里

WEKO 8766
e-Rad 60823896

信田, 侑里

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米岡, 完

× 米岡, 完

WEKO 8351
ORCID 0000-0002-8255-6293

米岡, 完

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中村, 暁子

× 中村, 暁子

WEKO 7754
e-Rad 70839430

中村, 暁子

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天野, 創

× 天野, 創

WEKO 797
e-Rad 20613467
ORCID 0000-0003-2919-6337

天野, 創

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竹林, 明枝

× 竹林, 明枝

WEKO 3249
e-Rad 00402735
ORCID 0000-0001-6426-9082

竹林, 明枝

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花田, 哲郎

× 花田, 哲郎

WEKO 7548
ORCID 0000-0001-8183-9702

花田, 哲郎

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村上, 節

× 村上, 節

WEKO 564
e-Rad 20240666
ORCID 0000-0002-0250-0856

村上, 節

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抄録
内容記述タイプ Abstract
内容記述 Study objective:
Hysteroscopic surgery criteria for patients with cesarean scar defect (CSD) are unclear. Therefore, this study aimed to explore the indication of hysteroscopic surgery for secondary infertility owing to CSD.
抄録
内容記述タイプ Abstract
内容記述 Design:
Retrospective cohort study.
抄録
内容記述タイプ Abstract
内容記述 Setting:
Single university hospital.
抄録
内容記述タイプ Abstract
内容記述 Patients:
Seventy patients with secondary infertility owing to symptomatic CSD who underwent hysteroscopic surgery under laparoscopy between July 2014 and February 2022 were included.
抄録
内容記述タイプ Abstract
内容記述 Interventions:
Clinical data, including basic patient information, preoperative residual myometrial thickness (RMT), and postoperative pregnancy status, were collected from medical records. Patients were divided into postoperative pregnancy and nonpregnancy groups. A receiver operating characteristic curve was drawn, and the optimal cutoff value was calculated based on the area under the curve to predict pregnancy after hysteroscopic surgery.
抄録
内容記述タイプ Abstract
内容記述 Measurements and main results:
No complications were observed in any cases. Among the 70 patients, 49 patients (70%) became pregnant after hysteroscopic surgery. There was no significant difference in patient characteristics between the pregnancy and nonpregnancy groups. In the receiver operating characteristic curve analysis for patients aged <38 years, the value of the area under the curve was 0.77 (sensitivity, 0.83; specificity, 0.78) when optimal cutoff of RMT was 2.2 mm. There was a significant difference in preoperative RMT between the pregnancy and nonpregnancy groups (3.3 mm and 1.7 mm, respectively) in patients aged <38 years.
抄録
内容記述タイプ Abstract
内容記述 Conclusion:
For RMT ≥2.2 mm, hysteroscopic surgery was reasonable for secondary infertility owing to symptomatic CSD, particularly in patients aged <38 years.
書誌情報 en : Journal of minimally invasive gynecology

発行日 2023-03-27
出版者
出版者 Elsevier B.V
ISSN
収録物識別子タイプ ISSN
収録物識別子 1553-4669
PMID
関連タイプ isVersionOf
識別子タイプ PMID
関連識別子 36990313
DOI
関連タイプ isVersionOf
識別子タイプ DOI
関連識別子 https://doi.org/10.1016/j.jmig.2023.03.012
関連名称 10.1016/j.jmig.2023.03.012
権利
権利情報 © 2023 AAGL. Published by Elsevier Inc. All rights reserved.
フォーマット
内容記述タイプ Other
内容記述 application/pdf
著者版フラグ
出版タイプ AM
出版タイプResource http://purl.org/coar/version/c_ab4af688f83e57aa
資源タイプ
内容記述タイプ Other
内容記述 Journal Article
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