子宫纵膈能否健康生下孩儿?
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">子宫纵膈是子宫一种先天性<span style="color: black;">生长</span><span style="color: black;">反常</span>的过程,表现为宫底有一个结缔组织为主的脊突向宫腔,双宫角深邃,宫腔容积变得比较小,<span style="color: black;">通常</span>多囊<span style="color: black;">病人</span>多并发这种<span style="color: black;">状况</span>,<span style="color: black;">能够</span><span style="color: black;">经过</span>思维彩超和输卵管造影看到水平位时子宫底下限,确诊还<span style="color: black;">必须</span>做宫腔镜。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">具往年数据统计,近15%~25 %的反复流产是<span style="color: black;">由于</span>畸形子宫<span style="color: black;">导致</span>,其中纵膈子宫占大<span style="color: black;">都数</span>。在反复妊娠失败,<span style="color: black;">尤其</span>是<span style="color: black;">初期</span>妊娠失败的<span style="color: black;">女性</span>中,纵膈子宫<span style="color: black;">出现</span>率很高。有<span style="color: black;">报告</span>,纵膈子宫<span style="color: black;">女性</span>妊娠<span style="color: black;">初期</span>(孕12周)流产<span style="color: black;">出现</span>率为25.5%,晚期流产率为6.2%。这暗示子宫纵膈影响胚胎<span style="color: black;">初期</span>种植和晚期<span style="color: black;">生长</span>,从而<span style="color: black;">引起</span><span style="color: black;">初期</span>或晚期流产的<span style="color: black;">出现</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">子宫纵膈<span style="color: black;">归类</span> </p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">根据</span>分隔宫腔程度又划分为不完全性和完全性纵隔子宫两种类型。纵隔不完全时会使<span style="color: black;">掰开</span>的子宫和宫颈间<span style="color: black;">显现</span>小通道,<span style="color: black;">因此</span>被<span style="color: black;">叫作</span>为不完全子宫纵隔。反之,将子宫完全分隔成两个较小子宫,则是完全型子宫纵膈。</p>
<div style="color: black; text-align: left; margin-bottom: 10px;"><img src="https://pic1.zhimg.com/80/v2-32db0a4955f51882c5a7cf9a20552518_720w.webp" style="width: 50%; margin-bottom: 20px;"></div>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">身患</span>子宫纵膈的女性就算<span style="color: black;">能够</span>怀孕,<span style="color: black;">亦</span>很难顺利生产。胎儿在母亲宫内的<span style="color: black;">生长</span>会变得迟缓、宫内死亡率较高。子宫纵膈<span style="color: black;">病人</span>子宫内的肌层血管偏少,<span style="color: black;">况且</span>纤维多,易影响受精卵着床。<span style="color: black;">同期</span>,覆盖在隔上的内膜对激素的刺激反应相对较差,<span style="color: black;">亦</span>会妨碍到正常的胎盘生长。<span style="color: black;">引起</span><span style="color: black;">初期</span>胎儿<span style="color: black;">出现</span>死亡。<span style="color: black;">长时间</span>如此还会发展成宫内<span style="color: black;">生长</span>迟缓。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">治疗<span style="color: black;">办法</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">(一)宫腔镜子宫纵膈切除术:</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">能够做到对宫腔壁内的病症<span style="color: black;">状况</span>进行有效观察,准确诊断,<span style="color: black;">运用</span>电切<span style="color: black;">或</span>微剪等方式进行切除,能有效在复原子宫腔正常状态的<span style="color: black;">同期</span>,<span style="color: black;">亦</span><span style="color: black;">守护</span>了子宫壁的<span style="color: black;">没</span>损性,能够使<span style="color: black;">病人</span>在完成手术之后<span style="color: black;">短期</span>内进行正常的妊娠,彻底的避免了传统手术形式<span style="color: black;">诱发</span>的各类并发症。<span style="color: black;">同期</span>,操作更加简单、手术时间更短、手术之后恢复更快。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">(二)宫腹腔镜联合手术:</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">宫腔镜及腹腔镜联合手术集中宫腔镜和腹腔镜各自的优点<span style="color: black;">同期</span>兼有诊断和治疗<span style="color: black;">功效</span>。腹腔镜<span style="color: black;">监测</span>下宫腔镜子宫纵隔切除手术相较单纯的宫腔镜下子宫纵膈切除术更加安全,腹腔镜<span style="color: black;">监测</span>下便于观察子宫形态<span style="color: black;">帮助</span>宫腔镜<span style="color: black;">一起</span>诊断疑难子宫畸形,并且在宫腔镜下切除过程中<span style="color: black;">经过</span>腹腔镜观察子宫肌壁宫腔镜透光度,能够<span style="color: black;">帮忙</span>判断子宫肌壁的薄厚,提醒术者终止手术的<span style="color: black;">机会</span>。</p>
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