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分隔子宫的每一半宫腔各成功妊娠 3 个胚胎移植后的案例报告。

Successful pregnancy in each half uterus cavity of the septate uterus after transferring three embryos in one half-cavity: a case report.

机构信息

Reproductive Medicine Center, the Third Affiliated Hospital of Guangzhou Medical University, Guangzhou Medical University, Guangzhou, Guangdong Province, China.

出版信息

J Ovarian Res. 2013 Aug 7;6(1):56. doi: 10.1186/1757-2215-6-56.

DOI:10.1186/1757-2215-6-56
PMID:23924779
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3751039/
Abstract

The incidence of Müllerian duct anomalies in women is rare, associating with urinary tract anomalies such as horseshoe or pelvic kidney, renal agenesis, duplication of the collecting system, or ectopic uterus. Septate uterus is one type of congenital uterine anomalies, in which there is a septum from the fundus to the cervix. Currently, it is believed that hysteroscopic metroplasty is a leading choice for patients if their recurrent spontaneous abortion is resulted from septate uterus. But, some people refuse to have a surgery, and successfully delivery. In this case report, we report a successful pregnancy with two gestational sacs, one in each half-cavity, in a woman with septate uterus after transfer of three embryos into one half-cavity. Finally, the women gave birth to two healthy babies in our hospital.

摘要

子宫中隔畸形是一种先天性子宫畸形,其特征是从子宫底部到子宫颈有一个隔膜。目前,人们认为对于因子宫中隔而反复发生自然流产的患者,宫腔镜子宫中隔切除术是首选治疗方法。但是,有些人拒绝手术,并成功分娩。在本病例报告中,我们报道了一例成功妊娠,该患者子宫中隔,在将三个胚胎转移到一个半宫腔后,两个妊娠囊分别位于两个半宫腔内,最终在我院分娩了两个健康婴儿。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6153/3751039/afca2b074649/1757-2215-6-56-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6153/3751039/395d3e952475/1757-2215-6-56-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6153/3751039/afca2b074649/1757-2215-6-56-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6153/3751039/395d3e952475/1757-2215-6-56-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6153/3751039/afca2b074649/1757-2215-6-56-2.jpg

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本文引用的文献

1
The pregnancy outcome in women with incidental diagnosis of septate uterus at first trimester scan.在早孕超声检查中偶然诊断为纵隔子宫的女性的妊娠结局。
Hum Reprod. 2012 Sep;27(9):2671-5. doi: 10.1093/humrep/des215. Epub 2012 Jun 29.
2
Hysteroscopic resection of uterine septum and reproductive outcome in women with unexplained infertility.宫腔镜子宫纵隔切除术对不明原因不孕患者的生殖结局的影响。
Gynecol Obstet Invest. 2012;73(4):321-5. doi: 10.1159/000335924. Epub 2012 Apr 4.
3
Reproductive outcomes in women with congenital uterine anomalies: a systematic review.
先天性子宫畸形女性的生殖结局:系统评价。
Ultrasound Obstet Gynecol. 2011 Oct;38(4):371-82. doi: 10.1002/uog.10056.
4
Metroplasty in a large population of women with septate uterus.子宫纵隔畸形患者的子宫成形术:一项大样本量女性人群研究。
J Minim Invasive Gynecol. 2011 Jul-Aug;18(4):449-54. doi: 10.1016/j.jmig.2011.03.017. Epub 2011 May 28.
5
Reproductive outcome of septate uterus following hysteroscopic septum resection.宫腔镜子宫中隔切除术后子宫中隔的生殖结局
J Hum Reprod Sci. 2010 Sep;3(3):143-5. doi: 10.4103/0974-1208.74157.
6
Complete septate uterus, obstructed hemivagina, and ipsilateral renal anomaly: pregnancy course complicated by a rare urogenital anomaly.完全纵隔子宫、梗阻性半阴道及同侧肾异常:妊娠过程合并罕见泌尿生殖系统异常。
Arch Gynecol Obstet. 2009 Sep;280(3):449-52. doi: 10.1007/s00404-008-0919-6. Epub 2009 Jan 9.
7
Hysteroscopic resection of the septum improves the pregnancy rate of women with unexplained infertility: a prospective controlled trial.宫腔镜下纵隔切除术可提高不明原因不孕症女性的妊娠率:一项前瞻性对照试验。
Fertil Steril. 2009 Jun;91(6):2628-31. doi: 10.1016/j.fertnstert.2008.04.011. Epub 2008 Jun 20.
8
Hysteroscopic septum resection of complete septate uterus with cervical duplication, sparing the double cervix in patients with recurrent spontaneous abortions or infertility.对于患有复发性自然流产或不孕症且伴有宫颈重复的完全纵隔子宫患者,行宫腔镜纵隔切除术,保留双宫颈。
Fertil Steril. 2009 Jun;91(6):2643-9. doi: 10.1016/j.fertnstert.2008.04.009. Epub 2008 Jun 18.
9
Complete septate uterus with longitudinal vaginal septum.完全纵隔子宫伴阴道纵膈
Fertil Steril. 2006 Mar;85(3):700-5. doi: 10.1016/j.fertnstert.2005.08.039.
10
Reproductive outcome after hysteroscopic metroplasty in women with septate uterus and otherwise unexplained infertility.子宫纵隔女性行宫腔镜子宫成形术后的生殖结局及不明原因不孕情况
Fertil Steril. 2004 Jun;81(6):1675-8. doi: 10.1016/j.fertnstert.2003.10.035.