Maneschi F, Marana R, Muzii L, Mancuso S
Department of Obstetrics and Gynecology, Università Cattolica del Sacro Cuore, Rome, Italy.
Acta Eur Fertil. 1993 May-Jun;24(3):117-20.
The medical records of 21 patients with bicornuate uterus were analyzed. Thirteen patients did not undergo corrective surgery, whereas eight underwent metroplasty. The pregnancies in patients who did not undergo surgery, and the outcome evaluated. The outcome of pregnancies after corrective surgery was also analyzed. The cumulative pregnancy rates at 12 and 24 months were 67% and 95% in patients without surgical correction and 63% and 88% in patients after surgical correction. The probability of giving birth to a live-born infant with no corrective surgery was 30%, 58% and 79% for the first, second and third pregnancy respectively; the probability of giving birth to a live-born infant after corrective surgery was 71% for the first and 86% for the second pregnancy. Fertility is not impaired in patients with bicornuate uterus, but gestational capacity is. A prognostic estimate of the likelihood of giving birth to a live-born infant can be formulated according to the number of pregnancies and/or surgical correction.
对21例双角子宫患者的病历进行了分析。13例患者未接受矫正手术，而8例接受了子宫成形术。对未接受手术患者的妊娠情况及其结局进行了评估。同时也分析了矫正手术后的妊娠结局。未接受手术矫正患者在12个月和24个月时的累积妊娠率分别为67%和95%，接受手术矫正患者的累积妊娠率分别为63%和88%。未接受矫正手术时，第一、第二和第三次妊娠分娩活产婴儿的概率分别为30%、58%和79%；接受矫正手术后，第一次妊娠分娩活产婴儿的概率为71%，第二次妊娠为86%。双角子宫患者的生育能力未受损，但妊娠能力受损。可根据妊娠次数和/或手术矫正情况对分娩活产婴儿的可能性进行预后评估。
