Banerjee N, Kriplani A, Takkar D
Department of Obstetrics and Gynaecology, All India Institute of Medical Sciences, New Delhi, India.
Aust N Z J Obstet Gynaecol. 1999 Feb;39(1):113-5. doi: 10.1111/j.1479-828x.1999.tb03459.x.
The role of a uterine septum, and thus, metroplasty in an infertile woman is a debatable issue. A rare complication of fetal malpresentation and impaction in the uterine cavity due to undiagnosed uterine septum in a 24-year-old primigravida who conceived after 3 years of primary infertility is reported. This case highlights that uterine anomalies should be looked for in patients with infertility and reproductive failures, and should be corrected before conception by metroplasty in order to improve reproductive outcome.
子宫纵隔的作用，以及子宫成形术在不孕女性中的作用是一个有争议的问题。本文报道了一例24岁初产妇的罕见并发症，该患者原发性不孕3年后怀孕，因未诊断出的子宫纵隔导致胎儿胎位异常并嵌顿于宫腔内。该病例强调，对于不孕和生殖功能衰竭的患者应排查子宫异常情况，且应在受孕前通过子宫成形术予以纠正，以改善生殖结局。
