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1953年3月至1993年3月,我院收治的25例残角子宫,其中Ⅰ型12例为残角子宫合并妊娠,包括3例残角子宫妊娠破裂,内出血1500~2500ml;Ⅱ型4例为假性闭经或原发痛经;Ⅲ型9例为妇产科其他原因手术时发现。结果提示残角子宫发病率低,容易误诊为卵巢肿瘤、过期流产和输卵管妊娠。诊断的关键是经常考虑这一畸形的可能性,选择适当的辅助检查。腹腔镜配合其他辅助检查能够提高诊断率,避免并发症的发生。
From March 1953 to March 1993, 25 cases of rudimentary horn uteri were treated in our hospital. Among them, 12 cases of type Ⅰ were remnant horns with pregnancy, including ruptured rupture of horniness uterus with 1500 ~ 2500ml internal bleeding and 4 cases of type Ⅱ For the pseudo-amenorrhea or primary dysmenorrhea; type Ⅲ 9 cases of obstetrics and gynecology for other reasons found during surgery. The results suggest that the incidence of residual angle uterus low, easily misdiagnosed as ovarian cancer, abortion and tubal pregnancy. The key to diagnosis is to frequently consider the possibility of this deformity, select the appropriate auxiliary examination. Laparoscopy with other auxiliary examination can improve the diagnostic rate, to avoid the occurrence of complications.