Zhang Limei, Zhong Xue, Chen Yuqing, Peng Tianyu, Yu Liyun, Cai Jian, Yao Shuzhong, Wang Zilian
Department of Obstetrics and Gynecology, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, Guangdong 510080, China.
Matern Fetal Med. 2022 Mar 10;4(2):155-158. doi: 10.1097/FM9.0000000000000143. eCollection 2022 Apr.
Uterus didelphys occurs in ∼0.4% of females and is found in ∼11%-20% of all uterus defects. It is a risk factor for cervical insufficiency, consequently contributing to late miscarriage or preterm birth. Thus far, only two prior cases of uterus didelphys accompanied by cervical insufficiency treated through laparoscopic cervical cerclage have been reported; however, livebirth only occurred in one hemiuterus. Herein, we report a case of uterus didelphys in a patient diagnosed with cervical insufficiency. Following the placement of a modified laparoscopic cervical cerclage, the patient had two successful livebirths through both hemiuteruses, respectively, with longer gestation age (ie, >36 weeks). The aim of this case report was to provide useful information for clinical practitioners to make better decisions on the management of cervical insufficiency in patients with uterus didelphys, and identify obstetric complications that clinicians should pay attention to during pregnancy.
双子宫发生率约为0.4%，占所有子宫缺陷的11% - 20%。它是宫颈机能不全的一个危险因素，进而导致晚期流产或早产。迄今为止，仅有两例双子宫伴宫颈机能不全经腹腔镜宫颈环扎术治疗的病例报告；然而，仅在一个半子宫中实现了活产。在此，我们报告一例诊断为宫颈机能不全的双子宫患者。在实施改良腹腔镜宫颈环扎术后，患者分别通过两个半子宫成功实现了两次活产，且孕周更长（即>36周）。本病例报告的目的是为临床医生在双子宫患者宫颈机能不全的管理方面做出更好决策提供有用信息，并识别临床医生在孕期应注意的产科并发症。
