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Anatomische Ursachen habitueller Aborte

Anatomic disorders as a reason for recurrent miscarriages

  • Leitthema
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Der Gynäkologe Aims and scope

Zusammenfassung

Habituelle Aborte sind multifaktoriell bedingt. Ihnen können ursächlich uterine Veränderungen zugrundeliegen. Solche Fehlbildungen können angeboren oder erworben sein. Zu den angeborenen Formen zählen Uterusseptum, Uterus bicornis, Uterus unicornus, Uterus didelphys und Uterus arcuatus. Letztgenannter scheint allerdings keine Auswirkungen auf ein Abortgeschehen zu haben. Erworbene Veränderungen sind intrauterine Adhäsionen, Endometriumpolypen und Myome. Einige dieser uterinen Malformationen können operativ behoben werden und bei Patientinnen mit habituellen Aborten eine Erhöhung der Lebendgeburtrate bedingen.

Abstract

Recurrent miscarriage can be caused by multiple factors. This review focuses on uterine conditions responsible for recurrent miscarriage. Such anomalies can be either congenital or acquired. Among the former are septate, bicornuate, and unicornuate uterus and uterus didelphys, whereas arcuate uterus does not seem to be responsible for miscarriage. Acquired uterine malformations include intrauterine adhesions, endometrial polyps, and myomas. Some of these malformations can be treated surgically, improving the prognosis for future pregnancies in patients with histories of recurrent abortion.

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Authors and Affiliations

  1. Klinik für Gynäkologie und Geburtshilfe, Universitätsklinikum Schleswig-Holstein, Campus Lübeck, Ratzeburger Allee 160, 23538, Lübeck, Deutschland

    A. Hornemann MPH, D.W. Luedders, M. Thill, C. Altgassen, K. Diedrich & M.K. Bohlmann

  2. Universitäts-Frauenklinik Essen, Essen, Deutschland

    M. Kumbartski

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  1. A. Hornemann MPH
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  2. D.W. Luedders
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  3. M. Kumbartski
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  5. C. Altgassen
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  6. K. Diedrich
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  7. M.K. Bohlmann
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Correspondence to A. Hornemann MPH.

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Hornemann, A., Luedders, D., Kumbartski, M. et al. Anatomische Ursachen habitueller Aborte. Gynäkologe 42, 11–16 (2009). https://doi.org/10.1007/s00129-008-2227-4

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