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首页> 外文期刊>Case Reports in Obstetrics and Gynecology >Spontaneous Twin Pregnancy in Uterus Bicornis Unicollis
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Spontaneous Twin Pregnancy in Uterus Bicornis Unicollis

机译：子宫双角子宫自然发双胎

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摘要

Abnormal fusion of the Müllerian ducts or failure of resorption of the septum causes varying degrees of congenital uterine malformation. They are often associated with reproductive problems such as miscarriage, premature labour, premature rupture of the membranes, or malpresentation. Twin gestation in a case of bicornuate uterus is extremely rare. A 37-year-old multiparous woman conceived a twin dichorionic diamniotic pregnancy spontaneously. Three-dimensional ultrasound revealed bicornuate uterus with one embryo in each cavity. Perinatal course was uneventful. At 35 weeks of pregnancy, spontaneous labour started and twin babies were delivered by bilateral low transvers caesarean section. Because of the rare occurrence of twin gestation in bicornuate uterus, there is no uniform guideline to manage these cases appropriately. Delivery by planned caesarean section could avoid the possible obstetric complications by dystocia.
机译：缪勒管的融合异常或隔膜吸收失败会导致不同程度的先天性子宫畸形。它们通常与生殖问题有关，例如流产，早产，胎膜早破或畸形。双角子宫子宫双胎妊娠极为罕见。一名37岁的多胎妇女自发地怀孕了两次绒毛膜羊膜炎。三维超声显示双角子宫，每个腔中都有一个胚胎。围产期过程平稳。怀孕35周时，自发分娩开始，双胎低位剖腹产分娩了双胞胎。由于双角子宫很少发生双胎妊娠，因此没有统一的指南来适当处理这些病例。按计划剖腹产可以避免难产引起的产科并发症。

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