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单角子宫中的多胎妊娠。病例报告。

Multiple gestation in a unicornuate uterus. A case report.

作者信息

Nahra-Lynch M, Toffle R C

机构信息

Department of Obstetrics and Gynecology, West Virginia University, Morgantown, USA.

出版信息

J Reprod Med. 1997 Jul;42(7):451-4.

PMID:9252939
Abstract

BACKGROUND

Uterine anomalies in the obstetric population have been reported to occur in 0.1-3.2% of patients, and the unicornuate uterus constitutes only 1-2% of these anomalies.

CASE

A 35 year-old woman with known unicornuate uterus became pregnant with twins after controlled ovarian hyperstimulation and intrauterine insemination. The pregnancy was complicated by cervical incompetence, premature labor, dysfunctional labor, the need for cesarean delivery and postpartum uterine atony.

CONCLUSION

This is the third reported successful outcome of multiple gestation following the use of assisted reproductive technologies in a patient with a unicornuate uterus. The presence of this müllerian anomaly should not be considered an absolute contraindication to the use of superovulation when treating infertility.

摘要

背景

据报道,产科人群中子宫异常的发生率为0.1%至3.2%,而单角子宫仅占这些异常情况的1%至2%。

病例

一名已知患有单角子宫的35岁女性在控制性卵巢过度刺激和宫内授精后怀上了双胞胎。该妊娠合并宫颈机能不全、早产、产程异常、需要剖宫产以及产后子宫收缩乏力。

结论

这是第三例报道的单角子宫患者使用辅助生殖技术后多胎妊娠成功的病例。在治疗不孕症时,这种苗勒管异常的存在不应被视为使用超排卵的绝对禁忌证。

相似文献

1
Multiple gestation in a unicornuate uterus. A case report.单角子宫中的多胎妊娠。病例报告。
J Reprod Med. 1997 Jul;42(7):451-4.
2
Rudimentary uterine horn pregnancy. A case report on surviving twins delivered eight days apart.残角子宫妊娠。一例相隔八天分娩存活双胞胎的病例报告。
J Reprod Med. 1997 Aug;42(8):525-32.
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Cervical cerclage--its role in the pregnant anomalous uterus.宫颈环扎术——其在妊娠异常子宫中的作用
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Unicornuate uterus with a rudimentary horn and ovarian dysgerminoma. A case report.单角子宫合并残角子宫及卵巢无性细胞瘤。病例报告。
J Reprod Med. 1999 Dec;44(12):1025-8.
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The incidence of preterm labor and specific risk factors.
Obstet Gynecol. 1990 Jul;76(1 Suppl):85S-89S.
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An incidental finding of unicornuate uterus with unilateral ovarian agenesis during cesarean delivery.剖宫产时偶然发现单角子宫伴单侧卵巢发育不全。
Arch Gynecol Obstet. 2007 Jul;276(1):91-3. doi: 10.1007/s00404-006-0317-x. Epub 2007 Jan 19.
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Uterine pathology and infertility.子宫病理学与不孕症。
Acta Eur Fertil. 1985 Jan-Feb;16(1):25-34.
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Twin pregnancy after in vitro fertilization in a woman with a unicornuate uterus.
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Successful urgent cerclage in a quadruplet gestation.四胎妊娠成功实施紧急宫颈环扎术。
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[Fertility with uterine anomalies].
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Perinatal outcomes of twin pregnancies in women with a unicornuate uterus.单角子宫女性双胎妊娠的围产期结局
Arch Gynecol Obstet. 2025 Mar 21. doi: 10.1007/s00404-025-08001-x.