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目的:研究不同类型子宫畸形及纵隔子宫手术治疗对生育能力、妊娠并发症及妊娠分娩结局的影响。方法:将361例子宫畸形分类进行对比分析,并对58例纵隔子宫进行术前、术后对比研究。结果:单角子宫组的不孕症发生率、早产率、胎位异常率、胎儿宫内发育受限率及围产儿死亡率均高于其它子宫畸形组(P<0.05),纵隔子宫早期胎儿丢失率最高(P<0.05)。纵隔子宫术后胎儿丢失率较术前下降(P<0.05),而足月产率、出生体质量增高(P<0.05)。结论:单角子宫对妊娠及其结局影响较大,纵隔子宫易导致早期胎儿丢失,宫腔镜子宫纵隔电切术有助于改善妊娠与分娩结局。
Objective: To study the effects of different types of uterine malformations and mediastinum surgery on fertility, pregnancy complications and pregnancy and childbirth outcomes. Methods: 361 cases of uterine malformations were analyzed comparatively, and 58 cases of mediastinum were studied preoperatively and postoperatively. Results: The incidence of infertility, premature birth rate, fetal abnormality rate, fetal developmental restriction rate and perinatal mortality in unicorrinogenis were higher than those in other uterine malformations (P <0.05), early fetal loss in mediastinum uterus The highest rate (P <0.05). The rate of fetal loss after mediastinum hysterectomy was significantly lower than that before operation (P <0.05), while the rate of full-term birth and birth weight was increased (P <0.05). Conclusion: Single angle uterus has a great influence on the pregnancy and its outcome. The mediastinal uterine easily leads to the loss of the early fetus. The hysteroscopic mammography can help to improve the outcome of pregnancy and childbirth.