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本文分析了36例经剖宫产证实的妊娠合并子宫畸形。妊娠合并子宫畸形并发症多,子宫发育差,下段形成不良,所以剖宫产率高。根据下段形成是否良好及畸形类型来选择术式。双子宫及单角子宫畸形下段形成不良取纵切口,避免切口撕伤出血。下段形成良好,仍可取横切口,其他畸形亦然,包括完全性纵隔子宫。若下段形成差,宽度小于9cm,宁取纵切口勿作“⊥”形切口。残角子宫应切除,双子宫阻塞产道或发生扭转宜切除非妊娠侧子宫,纵(横)隔应切除。
This article analyzes 36 cases of cesarean section confirmed by pregnancy with uterine malformations. Pregnancy complicated by complications of uterine malformations, poor uterine development, the lower formation of poor, so cesarean section rate. According to the formation of the next paragraph is good and deformity type to choose surgical. Double uterus and single horn uterine malformations to form the lower longitudinal incision to avoid incision bleeding. The lower part of the formation of a good, still desirable transverse incision, other malformations, including the complete mediastinum uterus. If the lower part of the formation of poor, width less than 9cm, rather than longitudinal slits do not make “⊥” shaped incision. Residual angle uterus should be removed, double uterine obstruction of the birth canal or torsion should be removed except the side of the uterus pregnancy, longitudinal (transverse) interval should be removed.