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目的：提高对残角子宫临床特征、诊断及处理的认识。方法：对１９８８ 年１ 月～１９９８ 年６ 月间收治的１７ 例残角子宫住院患者的临床资料进行回顾性分析。结果：１７ 例患者中Ⅰ型８ 例，Ⅱ型４ 例，Ⅲ型５ 例。Ⅰ、Ⅱ型临床表现以原发痛经、盆腔包块、残角子宫妊娠为主，Ⅲ型患者３ 例原发不孕，２ 例无临床症状。结论：临床表现与临床分型密切相关，残角子宫妊娠可出现严重的并发症。Ｂ超、子宫输卵管碘油造影、静脉肾盂造影和腹腔镜检查有助于残角子宫的诊断。除Ⅲ型外，诊断明确后应行残角子宫及同侧输卵管切除术。
Objective: To improve the clinical features of the rudimentary horn, diagnosis and treatment of awareness. Methods: A retrospective analysis was performed on the clinical data of 17 rudimentary horn inpatients hospitalized from January 1988 to June 1998. Results: Among the 17 patients, 8 were type Ⅰ, 4 were type Ⅱ and 5 were type Ⅲ. Ⅰ, Ⅱ clinical manifestations of primary dysmenorrhea, pelvic mass, residual angle uterine pregnancy, mainly in type Ⅲ patients 3 cases of primary infertility, 2 cases without clinical symptoms. Conclusion: The clinical manifestations are closely related to the clinical classification, residual horn uterine pregnancy may have serious complications. B ultrasound, hysterosalpingography, intravenous pyelography and laparoscopy contribute to the diagnosis of residual angle uterus. In addition to type III, the diagnosis should be OK rudimentary horn and uterine tubal resection.