摘要
目的 探讨子宫畸形妇女妊娠生育状态时的临床特点 ,以提高其产科预后的效果。方法 对 1984年 1月～ 1998年 12月我院收治的 15 3例先天性子宫畸形患者的临床资料进行了回顾分析 ,选择同期其他泌尿生殖道畸形但子宫发育正常的 2 7例患者作为对照。结果 子宫畸形患者不孕症的发生率为 2 2 .2 % (34/ 15 3) ,流产的发生率为 44 .3% (86 / 194) ,早产率为 9.3% (18/ 194) ,胎位异常发生率为 2 8.4% (2 9/ 10 2 ) ,剖宫产率为 6 1.8% (6 3/ 10 2 ) ,围产儿死亡率为 11.8% (12 / 10 2 )。结论 先天性子宫畸形患者有较高的不孕症发生率 ,妊娠后产科并发症发生率高 ,其中双角子宫及纵隔子宫妊娠结局最为不佳。
Objective To analyze the clinical characteristics of fertility and pregnancy in women with congenital uterine malformations and explore optimal treatments to improve the prognosis. Methods A retrospective study was conducted on the fertility and obstetric outcome in 153 in patients with uterine malformations treated in our hospital from January 1984 to December 1998. Twenty seven cases with other kinds of genital and/or urinary anomalies but with normal uterus was used as the control group. Results The infertility rate was 22.2%(34/153). The miscarriage rate was 44.3%(86/194), preterm labor rate was 9.3%(18/194). Abnormal fetal presentation rate was as high as 28.4%(29/102), the cesarean section rate was 61.8%(63/102), perinatal mortality rate was 11 8%(12/102). Conclusion Women with congenital uterine malformation usually have higher incidence of infertility and complications during pregnancy and delivery. Bicornuate and septate uterus could be associated with poorer obstetric outcome.
出处
《中华医学杂志》
CAS
CSCD
北大核心
2001年第7期415-417,共3页
National Medical Journal of China
