子宫纵隔-双宫颈-阴道纵隔10例分析

发布时间：2018-02-04 22:41

本文关键词： 子宫纵隔双宫颈阴道纵隔不孕症分类系统　出处：《中国实用妇科与产科杂志》2015年06期 　论文类型：期刊论文

【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。
[Abstract]:Objective to explore the experience of diagnosis and treatment of uterine mediastinum, double cervix and vaginal mediastinum. Methods the electronic medical records database of the Medical Records Department of Peking Union Hospital since 1984 was searched and the related case system was reviewed. According to the operation records, the deformity description was reviewed and screened. 10 cases of uterine mediastinal-double cervical-vaginal mediastinal-specific malformation were followed up by out-patient medical record and telephone. Results all 10 cases had a history of infertility. All patients with double cervix were treated with laparoscopy and vaginal mediastinectomy, except for one patient who underwent open hysterectomy and mediastinectomy. 3 cases of spontaneous pregnancy and full term cesarean section were performed. Conclusion in the diagnosis and treatment of infertility, there is a more complex reproductive tract deformity of uterine mediastinal-double cervix and vaginal mediastinum. There is no need to deal with both cervix in the treatment of infertility. Hysteroscopy is the first choice for mediastinal hysterectomy.
【作者单位】：中国医学科学院北京协和医院妇产科;
【分类号】：R711.1
【正文快照】： 子宫纵隔是女性生殖道畸形中最常见的畸形,在普通人群中发病率约为2.3%,在子宫发育异常中约占33.6%,在不孕、反复流产及反复流产合并不孕的患者中的发生率分别为3.0%、5.3%和15.4%。在临床应用最多的美国生育协会(AFS)苗勒管畸形分类中,典型的子宫纵隔可以是部分型,也可以是完

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