科普：纵隔子宫影响怀孕吗
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">在婚前孕前彩超<span style="color: black;">检测</span>中，育龄女性纵隔子宫的检出率还是比较高的。大部分群体<span style="color: black;">无</span><span style="color: black;">尤其</span>的临床表现，只是<span style="color: black;">经过</span>彩超<span style="color: black;">检测</span>偶尔<span style="color: black;">发掘</span>。当女性<span style="color: black;">伴侣</span>得知这个结果，<span style="color: black;">一般</span>会问，</span>“<span style="color: black;">大夫</span>，这个<span style="color: black;">疾患</span>影响怀孕吗？”<span style="color: black;">那样</span>，<span style="color: black;">一块</span>来认识一下纵隔子宫<span style="color: black;">到底</span>是怎么回事。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">纵隔子宫是胚胎在<span style="color: black;">生长</span>过程中，双侧副中肾管融合后，中隔吸收的某一过程受阻，形成<span style="color: black;">区别</span>程度的纵隔子宫，发病率</span><span style="color: black;">0.009%-12%</span><span style="color: black;">，人群发病率不明，占子宫<span style="color: black;">生长</span><span style="color: black;">反常</span>的</span><span style="color: black;">75%</span><span style="color: black;"><span style="color: black;">上下</span>，为<span style="color: black;">平常</span>的子宫<span style="color: black;">生长</span><span style="color: black;">反常</span>。纵隔子宫</span><span style="color: black;">(utertIs stum),</span><span style="color: black;">分为完全纵隔子宫和不完全纵隔子宫。</span></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://mmbiz.qpic.cn/mmbiz_jpg/ricVNiaChp1qR4VbCepuLXGtrnrTIu8ZfB2mjgV1kLMKgIljlBkmbhAYyiaH1DianicKkrIqBfIKr7SvGmrvhylguEQ/640?wx_fmt=jpeg&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">临床上，大部分</span></span><span style="color: black;"><span style="color: black;">纵隔子宫</span></span><span style="color: black;"><span style="color: black;">是超声<span style="color: black;">检测</span>时<span style="color: black;">发掘</span>的。表现为</span></span><span style="color: black;"><span style="color: black;">横切面</span><span style="color: black;">:</span><span style="color: black;">子宫横径较宽</span><span style="color: black;">,</span><span style="color: black;">宫<span style="color: black;">身体</span>中央可见衰减的纵隔回声</span><span style="color: black;">,</span><span style="color: black;">并见两个宫体显影</span><span style="color: black;">;</span><span style="color: black;">纵切面</span><span style="color: black;">:</span><span style="color: black;">探头自<span style="color: black;">一边</span>子宫向对侧缓慢移动时</span><span style="color: black;">,</span><span style="color: black;">先见一宫体显影消失后再<span style="color: black;">显现</span>一体回声。</span></span><span style="color: black;"><span style="color: black;">为了进一步<span style="color: black;">知道</span>诊断，<span style="color: black;">能够</span>进行碘油造影和宫腔镜<span style="color: black;">检测</span>。</span></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">纵隔子宫对怀孕的影响基于以下几个方面：</span></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;"><span style="color: black;">1、</span></span></span><span style="color: black;"><span style="color: black;"><span style="color: black;">因为</span>纵隔的影响，宫腔变形，<span style="color: black;">引起</span>晚期妊娠并发症的<span style="color: black;">出现</span>率<span style="color: black;">增多</span>，如早产率为</span>ll%~28%.矫形术后早产率可降至6%~9%。子宫畸形还可<span style="color: black;">引起</span>胎位<span style="color: black;">反常</span>、</span><span style="color: black;"><span style="color: black;">子宫收缩功能失调、</span></span><span style="color: black;"><span style="color: black;">胎盘滞留等产科并发症。</span></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;"><span style="color: black;">2、</span></span></span><span style="color: black;"><span style="color: black;">异位妊娠</span>(<span style="color: black;">亦</span><span style="color: black;">叫作</span>宫外孕)<span style="color: black;">因为</span>子宫畸形较<span style="color: black;">繁杂</span>，异位妊娠常可<span style="color: black;">出现</span>在闭锁的宫角、残角子宫、宫颈或阴道憩室等处。因其罕见，<span style="color: black;">位置于</span>这种不寻常位置的妊娠<span style="color: black;">常常</span>难以及早</span><span style="color: black;"><span style="color: black;">作出诊断</span></span><span style="color: black;"><span style="color: black;">。</span></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;"><span style="color: black;">3、</span></span></span><span style="color: black;"><span style="color: black;">子宫纵隔与怀孕的<span style="color: black;">出现</span>率为</span>17%~35%,接受纵隔子宫矫形手术后妊娠率为48%。<span style="color: black;">亦</span>有学者认为纵隔子宫并非<span style="color: black;">引起</span><span style="color: black;">不育</span>的<span style="color: black;">原因</span>，但在继发<span style="color: black;">不育</span><span style="color: black;">病人</span>中，不明<span style="color: black;">原由</span><span style="color: black;">不育</span>的<span style="color: black;">出现</span>率</span><span style="color: black;"><span style="color: black;"><span style="color: black;">明显</span></span></span><span style="color: black;"><span style="color: black;"><span style="color: black;">升高</span>达</span>40 %。</span><span style="color: black;"><span style="color: black;"><span style="color: black;">因此呢</span></span></span><span style="color: black;"><span style="color: black;"><span style="color: black;">不可</span>排除在这类<span style="color: black;">病人</span>中子宫纵隔是影响受孕的<span style="color: black;">原因</span>之一。</span></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;"><span style="color: black;">日前</span>临床上比较公认的是</span></span><span style="color: black;"><span style="color: black;">子宫纵隔分离术</span></span><span style="color: black;"><span style="color: black;">，它</span></span><span style="color: black;"><span style="color: black;">避免了传统手术<span style="color: black;">流血</span>多的缺点，采用特殊技术，术中术后<span style="color: black;">流血</span>少，创伤小，恢复时间短，<span style="color: black;">很难</span>形成粘连。尤其是冷剪刀最大程度<span style="color: black;">守护</span>了子宫，<span style="color: black;">守护</span>了生养能力，不影响术后自然受孕。宫腔形态恢复正常达</span><span style="color: black;">90%</span><span style="color: black;">以上，再孕成功分娩率</span><span style="color: black;">85%</span><span style="color: black;">以上。子宫纵隔切除术后采取有效防粘连法，很好的防止术后粘连的<span style="color: black;">出现</span>。</span></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">相信女性<span style="color: black;">伴侣</span><span style="color: black;">经过</span><span style="color: black;">认识</span>这个<span style="color: black;">疾患</span>，<span style="color: black;">同期</span>进行积极治疗，<span style="color: black;">一样</span><span style="color: black;">能够</span><span style="color: black;">持有</span>幸福人生！</span></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://mmbiz.qpic.cn/mmbiz_png/ricVNiaChp1qR4VbCepuLXGtrnrTIu8ZfBp08H3IjVJJ7loEv023eJgtsp0mrss5TLfBRWyeVnX4YCTantoQXIMg/640?wx_fmt=png&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;"></p>
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