论文部分内容阅读
本文报导了一例无排卵伴有双子宫畸型的妇女在诱发排卵后发生的双胎妊娠,并讨论了这种病例的处理及可能出现的合并症。患者25岁,孕0产0,主因一年来继发闭经,原发不孕而就诊。双合诊检查子宫正常大小,无附件包块,窥镜检查见一不全横膈复盖于宫颈的右侧,牵引横膈露出另一小的宫颈口,该宫颈口可为探针插入,子宫输卵管造影显示为双子宫,各有一游离的输卵管,正常大小,静脉肾盂造影仅能见左肾和输尿管。血中激素测定显示低水平的雌二醇(<30pg/ml)、孕酮(0.5ng/ml)、FSH和LH(分别为3和4 mIU/ml),催乳素水平正常(10ng/ml)。
This article reports on a twin pregnancy in an anovulatory patient with double uterine malformations after ovulation induction and discusses the management of such cases and possible complications. Patients 25 years old, 0 pregnant 0, mainly due to secondary amenorrhea in a year, the primary infertility and treatment. Double check the normal size of the uterus, no attachment mass, see the endoscopic examination of the diaphragm cover the right side of the cervix, traction Diaphragm revealed another small cervical orifice, the cervix for probe insertion, the uterus Tubal angiography showed double uterus, each with a free fallopian tube, normal size, intravenous pyelography can only see the left kidney and ureter. Serum hormonal assays showed low levels of estradiol (<30 pg / ml), progesterone (0.5 ng / ml), FSH and LH (3 and 4 mlU / ml, respectively), normal prolactin levels (10 ng / ml) .