[子宫畸形女性的妊娠及其结局]
[Pregnancy and its outcome in women with malformed uterus].
作者信息
Ma S, Bian X, Lang J
机构信息
Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing 100730, China.
出版信息
Zhonghua Yi Xue Za Zhi. 2001 Apr 10;81(7):415-7.
OBJECTIVE
To analyze the clinical characteristics of fertility and pregnancy in women with congenital uterine malformations and explore optimal treatments to improve the prognosis.
METHODS
A retrospective study was conducted on the fertility and obstetric outcome in 153 in patients with uterine malformations treated in our hospital from January 1984 to December 1998. Twenty-seven cases with other kinds of genital and/or urinary anomalies but with normal uterus was used as the control group.
RESULTS
The infertility rate was 22.2% (34/153). The miscarriage rate was 44.3% (86/194), preterm labor rate was 9.3% (18/194). Abnormal fetal presentation rate was as high as 28.4% (29/102), the cesarean section rate was 61.8% (63/102), perinatal mortality rate was 11.8% (12/102).
CONCLUSION
Women with congenital uterine malformation usually have higher incidence of infertility and complications during pregnancy and delivery. Bicornuate and septate uterus could be associated with poorer obstetric outcome.
目的
分析先天性子宫畸形女性的生育和妊娠临床特征，探索改善预后的最佳治疗方法。
方法
对1984年1月至1998年12月在我院接受治疗的153例子宫畸形患者的生育和产科结局进行回顾性研究。将27例有其他类型生殖器和/或泌尿系统异常但子宫正常的患者作为对照组。
结果
不孕率为22.2%（34/153）。流产率为44.3%（86/194），早产率为9.3%（18/194）。胎位异常率高达28.4%（29/102），剖宫产率为61.8%（63/102），围产儿死亡率为11.8%（12/102）。
结论
先天性子宫畸形女性通常不孕发生率较高，妊娠和分娩期间并发症较多。双角子宫和纵隔子宫可能与较差的产科结局相关。
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