单角子宫妊娠合并宫颈机能不全一例并文献复习  

Unicornuate Uterus Pregnancy with Cervical Insufficiency:A Case Report and Literature Review

作　　者：钟彩娟 李映桃[1] 陈佳[1] 梁黎璇 王振宇 王艳[1] ZHONG Cai-juan;LI Ying-tao;CHEN Jia;LIANG Li-xuan;WANG Zhen-yu;WANG Yan(Department of Obstetrics,The Third Affiliated Hospital of Guangzhou Medical University,Guangdong Key Laboratories on Obstetric Major Disease,Guangzhou 510150,China;Sun Yat-sen Memorial Hospital,Sun Yat-sen University,Guangzhou 510120,China)

机构地区：[1]广州医科大学附属第三医院产科,广东省产科重大疾病重点实验室,510150 [2]中山大学孙逸仙纪念医院

出　　处：《国际妇产科学杂志》2020年第5期597-600,共4页Journal of International Obstetrics and Gynecology

基　　金：广东省卫生计生适宜技术入库项目(粤卫通[2017]8号);2020年广州市高校创新创业(就业)教育项目(穗教高教[2019]15号)。

摘　　要：单角子宫的生殖预后一般较差,可引起不孕、流产、宫颈机能不全和早产。现报告1例3次妊娠,分别于10^+周、26^+周和22^+周自然流产,经联合宫腔镜和腹腔镜诊断单角子宫并残角子宫合并宫颈机能不全,行左侧残角子宫离断+子宫整形修复术后,成功自然妊娠2次,2次均在孕12周行预防性经阴道宫颈环扎术,术后分别在孕35^+5周和36^+4周剖宫产分娩近足月活婴的临床处置经过,并将近年国内外单角子宫合并妊娠的诊治进展相关文献进行回顾总结。The reproductive prognosis of a unicornuate uterus is generally poor,which can lead to infertility,miscarriage,cervical insufficiency and premature birth.A case of 3 times pregnancies,respectively,in 10^+ weeks’gestation,26^+ weeks’gestation,and 2^2+ weeks’gestation of spontaneous abortion were reported.Combined hysteroscopy and laparoscopy were used to diagnose unicornuate uterus with non-communicating rudimentary horns with cervical insufficiency.After the disconnection the rudimentary horn and uterine plastic surgery,the patient was successfully conceived twice,and transvaginal cervical cerclage was performed at 12 weeks of gestation.The cesarean delivery was performed at 35^+5 weeks and 36^+4 weeks.We review the literature on the progress of diagnosis and treatment of unicornuate uterus with pregnancy at home and abroad in recent years.

关 键 词：子宫 宫颈功能不全 环扎术 宫颈 预后 病例报告 

分 类 号：R714.2[医药卫生—妇产科学]