双角子宫

双角子宫Bicornuate uterus),是一类妇科发育障碍,为双侧分离的子宫内膜腔连于一个宫颈,系双侧副中肾管融合不良所致[1]

双角子宫
人体双角子宫
类型non-syndromic uterovaginal malformation[*]
分类和外部资源
医学专科妇科学
ICD-11LB44.3
ICD-9-CM752.3
DiseasesDB33376
Orphanet180134
[编辑此条目的维基数据]

主要包括两种类型,完全性双角子宫(两个子宫从宫颈内口处分开)和不完全性双角子宫(两个子宫在宫颈内口之上任何部位分开)[2]

临床表现为月经血量较多,有不同程度的痛经,有反复流产与早产史[3]。妇科检查可发现子宫呈双角状。早孕期一侧妊娠,则妊娠侧子宫明显增大。中晚期一侧妊娠时,妊娠子宫偏离中线。鞍状子宫宫体凹陷呈鞍状,双合诊时可发现宫底部较正常子宫为宽[4]

医学超声检查

参考

  1. ^ Byrne J, Nussbaum-Blask A, Taylor WS; et al. Prevalence of Müllerian duct anomalies detected at ultrasound. Am. J. Med. Genet. 2000, 94 (1): 9–12. PMID 10982475. doi:10.1002/1096-8628(20000904)94:1<9::AID-AJMG3>3.0.CO;2-H. 
  2. ^ Acién P, Acién M, Sánchez-Ferrer ML. Müllerian anomalies "without a classification": from the didelphys-unicollis uterus to the bicervical uterus with or without septate vagina. Fertil. Steril. 2008, 91 (6): 2369–75. PMID 18367185. doi:10.1016/j.fertnstert.2008.01.079. 
  3. ^ Shuiqing M, Xuming B, Jinghe L. Pregnancy and its outcome in women with malformed uterus. Chin. Med. Sci. J. 2002, 17 (4): 242–5. PMID 12901513. 
  4. ^ Marten K, Vosshenrich R, Funke M, Obenauer S, Baum F, Grabbe E. MRI in the evaluation of müllerian duct anomalies. Clin Imaging. 2003, 27 (5): 346–50 [2014-08-28]. PMID 12932688. doi:10.1016/S0899-7071(02)00587-9. (原始内容存档于2018-06-20).