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先天性子宫异常女性的母胎结局

Maternofetal Outcomes in Women With Congenital Uterine Anomalies.

作者信息

Ganti Shruti, Arogyaswamy Parimala, Srinivasan Jayashree, Aarthy Archunan Priya

机构信息

Department of Obstetrics and Gynaecology, Saveetha Medical College and Hospitals, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, IND.

出版信息

Cureus. 2024 Nov 11;16(11):e73430. doi: 10.7759/cureus.73430. eCollection 2024 Nov.

Abstract

Müllerian anomalies are congenital disorders that affect the female reproductive system, often leading to a range of obstetric complications. These anomalies include structural abnormalities such as arcuate, septate, unicornuate, and bicornuate uteri, which can impact fertility, pregnancy outcomes, and delivery methods. This case series presents five patients with different types of Müllerian anomalies, including septate, arcuate, and unicornuate uteri. Each case is discussed concerning its presentation, diagnostic process, therapeutic interventions, and outcomes. These cases highlight the complications associated with these anomalies, including recurrent pregnancy loss, preterm delivery, and the necessity of cesarean sections. This series underscores the importance of early diagnosis and individualized management of Müllerian anomalies to improve obstetric outcomes. Advanced imaging techniques and surgical interventions, such as hysteroscopic metroplasty, can enhance reproductive success and reduce pregnancy-related complications.

摘要

苗勒管异常是影响女性生殖系统的先天性疾病,常导致一系列产科并发症。这些异常包括如弓形子宫、纵隔子宫、单角子宫和双角子宫等结构异常,可影响生育能力、妊娠结局和分娩方式。本病例系列介绍了五例不同类型的苗勒管异常患者,包括纵隔子宫、弓形子宫和单角子宫。对每个病例的临床表现、诊断过程、治疗干预措施及结果进行了讨论。这些病例突出了与这些异常相关的并发症,包括复发性流产、早产以及剖宫产的必要性。本系列强调了早期诊断和个体化管理苗勒管异常对改善产科结局的重要性。先进的成像技术和手术干预措施,如宫腔镜子宫成形术,可提高生殖成功率并减少与妊娠相关的并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0d39/11633083/325d31af48b7/cureus-0016-00000073430-i01.jpg

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