本文报道64例子宫畸形,其发生率为0.7‰。其中双子宫为37.5％;观角子宫为20.31％。因子宫畸形行剖宫产术37例,占同期剖宫产的1.11％。子宫畸形合并臀位最多。双子宫妊娠中,以右侧子宫妊娠多见。并着重分析和讨论了残角子宫和双角子宫妊娠时的诊断和处理;子宫畸形在妊娠和分娩中的注意事项及手术的选择。 This article reports 64 cases of uterine malformations, the incidence was 0.7 ‰. Among them, the double uterus was 37.5%; the angle of view uterus was 20.31%. Cesarean section due to uterine malformations in 37 cases, accounting for 1.11% of cesarean section over the same period. Uterine malformations with the most breech. Double uterine pregnancy, more common to the right uterine pregnancy. The analysis and discussion of the diagnosis and treatment of rudimentary horn and uterus during gestation, the precautions during pregnancy and childbirth and the choice of surgery were emphasized.