双子宫和纵隔子宫与复发性流产的关系及处理

摘要/Abstract

Abstract:

Abstract:Uterus didelphys and septate uterus is the most common uterine malformation,and is one of the causes of recurrent spontaneous abortion.Septate uterus has the highest abortion rate.The two-dimensional ultrasound can be used as a uterine malformation screening method.Color Doppler can be used to detect a higher incidence of mediastinal blood flow by abortion,to help prediction of mediastinal uterine abortion.3D ultrasound is the preferred method for the diagnosis of uterine malformations.Mediastinal resection can significantly improve the reproductive prognosis of septate uterus.Double uterus generally does not need orthopedics surgery. Orthopedics of the other types of uterine malformations is perhaps helpful for the prevention of miscarriages. Patients with uterine malformations are easily combined cervical incompetence,uterine malformations,but unconfirmed merger cervical insufficiency,lack evidence of prophylactic cervical cerclage.

Key words: uterine malformations;septate uterus;uterus didelphys;recurrent spontaneous abortion

中图分类号:

R714

连岩,王谢桐. 双子宫和纵隔子宫与复发性流产的关系及处理[J]. 中国实用妇科与产科杂志, 2013, 9(2): 82-86.

参考文献

［1］郎景和,向阳，主译.Berek & Novak妇科学.14版.北京:人民卫生出版社,2008:808-840 . 

［2］ Hua M,Odibo AO,Longman RE,et al.Congenital uterine anomalies and adverse pregnancy outcomes. Am J Obstet Gynecol,2011,205(6):558 .e1-558 .e5 . 

［3］ Chan YY,Jayaprakasan K,Zamora J,et al.The prevalence of congenital uterineanomalies in unselected and high-risk populations: a systematic review.Hum Reprod Update,2011,17(6):761-771 .

［4］蔡兴苑,卢丹,张建萍,等.女性生殖器官发育异常433例临床分析.实用妇产科杂志,2011,27(10):745-749 .

［5］王世军,MandakiniOli,蒋励,等.女性生殖管道发育异常225例临床分析.中华妇产科杂志,2008,43(7)493-496 .

［6］ Feng Y,Liang X,Li X.Clinical Analysis of 16 Cases with Duplex Uterus.J Reprod Contraception,2011,22(4):217-221 .

［7］ Aboulghar MM,Shoeir IK,Momtaz M,et al.A comparative study of 2-dimensional sonohysterographyversus 3-dimensional sonohysterography in infertilepatients with uterine cavity lesions and abnormalities. Middle East Fertility Society Journal,2011,16(1):67-71 .

［8］ Kupesic S,KuIjak A.Septate uterus:Detection and prediction of obstetrical complications by different forms of ultrasonography.J Ultrsaound Med,1998,17:631-636 .

［9］陈雁威,蔡爱露,杨泽宇.经阴彩色多普勒超声在纵隔子宫诊断中的应用价值.中国临床医学影像杂志,2007,18(8):572-574 . 

［10］ Salim R,Regan L,Woelfer B,et a1 .A comparative study of themorphology of congenital uterine anomalies in women with andwithout a history of recurrent first trimestermiscarriage.Hum Reprod,2003,18(1):162-166 .

［11］陈雁威,蔡爱露,杨清.经阴道三维超声宫腔造影对纵隔子宫的临床评价.中国超声医学杂志,2006,22(2):128-131 .

［12］ Reichman DE,Laufer MR.Congenital uterine anomalies affecting reproduction.Best Pract Res Clin Obstet Gynaecol,2010,24(2):193-208 . 

［13］ Tonguc EA,Var T,Batioglu S.Hysteroscopicmetroplasty in patients with a uterine septum and otherwiseunexplained infertility.Int J Gynecol Obstet,2011,113(2):128-130 .

［14］ Cogendez E,Dolgun ZN,Sanverdi I,et al.Post-abortion hysteroscopy:a method for early diagnosis of congenital and acquiredintrauterine causes of abortions［J］.Eur J Obstet Gynecol Reprod Biol,2011,156(1):101-104 .

［15］ Roy KK, Singla S, Baruah J, et al.Reproductive outcome following hysteroscopicseptal resection in patients with infertility and recurrent abortions.Arch Gynecol Obstet,2011,283:273-279 . 

［16］ Shih CL,Hung YC,Chen CP,et al.Resectoscopic excision of the vaginal septum in a virgin with uterus didelphys and obstructed unilateral vagina.Taiwan J Obstet Gynecol,2010,49(1):109-111 . 

［17］ Golan A,Langer R,Wexler S.Cervical cerclage--its role in the pregnant anomalous uterus. Int J Fertil,1990,35(3):164-170 .

［18］ Romero R,Espinoza J,Erez O,et al.The role of cervical cerclage in obstetric practice:Can the patient who could benefit from this procedure be identified? . Am J Obstet Gynecol,2006,194(1):1-9 .

［19］张为远.中华围产医学.北京:人民卫生出版社,2012:91 .

[1]	颜磊, 陈子江. 影响女性生育力的重要子宫疾病及机制[J]. 中国实用妇科与产科杂志, 2022, 38(6): 589-593.
[2]	夏恩兰. 子宫畸形的诊治[J]. 中国实用妇科与产科杂志, 2018, 34(4): 367-371.
[3]	王素敏，顾小燕. 宫腔镜子宫纵隔切开术治疗纵隔子宫[J]. 中国实用妇科与产科杂志, 2018, 34(4): 371-374.
[4]	周颖，乔宠. 宫颈环扎术在晚期复发性流产中的应用[J]. 中国实用妇科与产科杂志, 2013, 9(2): 111-114.
[5]	林其德，苏小玲. 抗磷脂抗体相关性复发性流产的诊治[J]. 中国实用妇科与产科杂志, 2013, 9(2): 106-108.
[6]	张璇，韩方，于利利. 超声诊断女性生殖器畸形的临床价值[J]. 中国实用妇科与产科杂志, 2013, 9(10): 779-781.