宫颈环扎术治疗完全性纵隔子宫并双宫颈双阴道一例并文献复习

Cervical Cerclage for Complete Septate Uterus with Double Cervix and Double Vagina:A Case Report and Literature Review

先天性子宫畸形合并宫颈功能不全发病率可高达30%。纵隔子宫作为一种先天性子宫畸形,育龄妇女患病率约为0.2%~2.3%;具有较高的不孕、流产和早产风险。报告1例完全性纵隔子宫并双宫颈双阴道患者,妊娠前宫腔镜下行子宫纵隔切除术,孕14周经阴道行双侧宫颈预防性环扎术,孕23^(+6)周宫口开大,保守治疗,孕30^(+1)周早产临产拆线,最终自然分娩并抱婴回家的临床处置经过,并回顾总结近年国内外纵隔子宫合并妊娠的诊治进展。

The incidence of congenital uterine malformation combined with uterine cervical incompetence can be as high as 30%.Septate uterus is one of congenital uterine anomalies with a prevalence of 0.2%~2.3%in women of childbearing age.It has a high risk of infertility,miscarriage and premature birth.Now we report a case of complete septate uterus with double cervix and double vagina.Hysteroscopic hysterectomy was performed before pregnancy,and bilateral cervical cerclage was performed via vagina at 14 weeks of gestation.At 23^(+6) weeks of gestation,the cervix was dilated and conservative treatment was performed,and the suture was removed at 30^(+1) weeks of gestation when was about to give birth,and the patient gave birth naturally and brought the baby home.The current research of the diagnosis and treatment for septate uterus in pregnancy at home and abroad in recent years is reviewed.