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目的:探究不同类型畸形子宫临床特点、诊断情况、处理原则和不孕症之间的关系。方法:选择我院2001年2月到2011年2月收治的30例住院行宫腔镜以及开腹手术确认诊断为畸形子宫患者临床资料进行回顾性分析。结果:30例患者有40%有过孕史,其中正常的妊娠率达到50%的是残角子宫,15%为子宫不全中膈,60%为完全中膈,双角子宫1例是原发性的不孕症患者;双子宫4例,其中有1例有足月生产的历史,还有1例是原发性不孕症;其中自然流产史者占到了50%的是完全中膈子宫;B超中诊断畸形子宫的符合率为29%,对完全中膈子宫的诊断率则可达到86%,但对子宫输卵管造影诊断率却非常低,畸形子宫合并子宫内膜异位的患病率为50%,手术后妊娠率达28%。结论:双子宫、完全中膈子宫、残角子宫都有一定的怀孕机会,但是,完全中膈妊娠比较容易自然流产,而双角子宫和子宫不全膈的病人几乎无法怀孕。
Objective: To explore the clinical characteristics of different types of deformed uterus, diagnosis, treatment principles and the relationship between infertility. Methods: The clinical data of 30 hospitalized patients undergoing hysteroscopy and open laparoscopic surgery diagnosed as deformity uterus from February 2001 to February 2011 in our hospital were retrospectively analyzed. RESULTS: Forty percent of 30 patients had a history of pregnancy, with a normal pregnancy rate of 50% of the rudimentary horn, 15% of the mediastinum, 60% of the mediastinum, 1 of the uterine horns Sexual infertility patients; 4 cases of double uterus, of which 1 case has a history of full-term production, there is 1 case of primary infertility; which accounted for 50% of spontaneous abortion history is completely in the uterus ; B ultrasound diagnosis of deformity uterus in line with the rate of 29%, the diagnosis of complete mediastinal uterus can reach 86%, but the hysterosalpingography diagnostic rate is very low, deformity uterus with endometriosis The rate was 50% and the postoperative pregnancy rate was 28%. CONCLUSIONS: Double uterus, complete mediastinal uterus, and residual horn uterus all have certain chances of pregnancy. However, complete diaphragmatic pregnancy is easier to spontaneous abortion, whereas patients with both uterine horn and uterine septum are almost impossible to conceive.