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目的 总结残角子宫的临床特征 ,探讨诊断和处理方法。方法 分析经手术确诊的残角子宫病例 2 1例 ,其中残角子宫妊娠组 13例 ,非妊娠组 8例。结果 临床特征有痛经、盆腔包块、急腹症、早孕人工流产吸空。 14例单纯切除残角子宫 ,术后无并发症发生 ,6例仅行残角子宫侧输卵管结扎或切除 ,其中 2例术后继发子宫内膜异位症 ( 1例还伴发残角子宫积血 )。结论 早孕人流吸空和孕中期出现急腹症应警惕残角子宫妊娠 ,无论合并妊娠与否 ,一旦确诊 ,均应将残角子宫及同侧输卵管切除
Objective To summarize the clinical features of the rudimentary horn uterus and discuss the methods of diagnosis and treatment. Methods 21 cases of rudimentary horns were diagnosed by surgery. Among them, 13 cases were rudimentary horns uterine pregnancy group and 8 cases were non-pregnancy group. Results The clinical features of dysmenorrhea, pelvic mass, acute abdomen, early pregnancy induced abortion. 14 cases of simple removal of residual angle uterus, postoperative complications, only 6 cases of rudimentary hysterectomy tubal ligation or resection, including 2 cases of postoperative secondary endometriosis (1 case also associated with residual horn uterus Hemorrhage). Conclusion Abortion in early pregnancy and acute abdomen in the second trimester of pregnancy should be wary of residual angle uterine pregnancy, regardless of pregnancy or not, once diagnosed, should the remnant uterus and ipsilateral tubal resection