Abstract:

Abstract： Objective To summarize and share experiences of diagnosis and treatment of septate uterus with double cervix and longitudinal vaginal septum. Methods Original data was retrieved from electronic medical record database of Peking Union Medical College Hospital, specific malformations were confirmed according to the description of operation records, and patients concerned were followedup by outpatient medical records and telephone interview.Results All 10 patients complained of infertility, and underwent resection of vaginal septum and laparo-hysteroscopic surgery, with only one exception of open operation for uterine orthopedic.Three patients had spontaneous pregnancy and full-term cesarean section delivery, interval between pregnancy and previous surgery being 2~3.5 years.Conclusion Septate uterus with double cervix and longitudinal vaginal septum is a complex mullerian anomaly in patients with infertility. Hysteroscopic resection of uterine septum is the priority recommendation,keeping double cervix intact.

Key words: septate uterus, double cervix, longitudinal vaginal septum, infertility, classification system

摘要：

目的 探讨子宫纵隔-双宫颈-阴道纵隔的诊治经验。方法 检索北京协和医院病案科1984年至今的电子病案数据库，调集相关病例系统复习，根据手术记录对畸形描述进行复核和甄别。10例子宫纵隔-双宫颈-阴道纵隔特异畸形病例通过门诊病历和电话完善随访。结果 10例均有不孕病史，完全分隔的双宫颈患者除1例行开腹子宫纵隔切除术外，均行腹腔镜检查+宫腔镜子宫纵隔切除术+阴道纵隔切除术。自然受孕并足月剖宫产3例，距前次手术间隔2~3.5年。结论 在不孕症诊治中存在子宫纵隔-双宫颈-阴道纵隔这种较为复杂的生殖道发育畸形。治疗上双宫颈不需处理，子宫纵隔的切除首选宫腔镜。

关键词: 子宫纵隔, 双宫颈, 阴道纵隔, 不孕症, 分类系统