获得性子宫畸形妊娠终止结局的临床研究

Study on termination and consequence of acquired uterine deformity pregnancy

目的 :探讨获得性子宫畸形再妊娠的终止技术及其结局。方法 :收集 1990年 1月 1日～ 1999年 4月 30日在我院宫腔手术操作时筛查出的获得性子宫畸形 12 2例 ,其中 5 6例获得性子宫畸形妊娠为研究对象 ,观察妊娠终止结局与获得性子宫畸形的关系。结果 :早期妊娠终止 5 3例 ,吸宫后发生胎物残留、漏吸 2 7例 ,经历了 2～ 10次宫腔手术操作才获得成功 ,尤其是Ⅱ、Ⅳ型畸形。足月妊娠分娩 3例 ,发生分娩并发症 2例。结论 :妊娠不良结局的发生与获得性子宫畸形有密切关系 ,提出了该畸形再妊娠的终止技术和不良结局的防止措施 。

Objective To study the technology and consequence of termination of acquired uterine deformity repregnancy.Methods 122 cases of acquired uterine deformity screened in uterine operation from Jan. 1990 to Apr. 1999 were collected. 56 cases of acquired uterine deformity pregnancy were studied to observe the relation between termination of pregnancy and acquired uterine deformity.Results 53 cases of early pregnant termination were found, and 27 cases of remnant and neglect after uterine aspiration underwent 2 to 10 operations, especially for type II and IV deformity. There were 3 cases of term pregnancy delivery and 2 cases of delivery complication.Conclusion Bad consequences of pregnancy termination is associated with acquired uterine deformity,termination technologies and countermeasures against bad consequences were proposed. It is significant for standardization of obstetric clinical control and gestation operation.