子宫纵膈怎么办？影响怀孕吗？
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"> 点击上方蓝字 </p><img src="https://mmbiz.qpic.cn/mmbiz_gif/42G2TO0v4tcRUb4AHZDiaoWibRYEQcwQRk6A1L8PNCibRmYcSFZqZVVPJBEW9kBc4P2diajnpeHeypyBjwjUpe7cWg/640?tp=webp&wxfrom=5&wx_lazy=1" style="width: 50%; margin-bottom: 20px;">
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"> <span style="color: black;">容易</span>关注<span style="color: black;">咱们</span> </p><img src="https://mmbiz.qpic.cn/mmbiz_jpg/42G2TO0v4tdttaBdvMnibNdTXqlR3ElwCwCcHUr67ichHPFE6VRxiaLnSQTvD9QGz720d4WmJw6ABV6NiaUM4rLicEQ/640?wx_fmt=jpeg&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;">
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">前言</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;">在临床上，经常有病人拿着彩超单，找到<span style="color: black;">大夫</span>问，我有子宫纵膈，能生<span style="color: black;">孩儿</span>吗</span><span style="color: black;">？</span><span style="color: black;">切除纵膈<span style="color: black;">能够</span>正常怀孕吗？</span><span style="color: black;">纵膈子宫怀孕了会<span style="color: black;">怎么样</span>？</span><span style="color: black;">诸如此类，那让<span style="color: black;">咱们</span>来<span style="color: black;">认识</span>它，打消顾虑！</span></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">壹</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">什么是子宫纵膈？</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">子宫纵膈是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>。双侧副中肾管完全融合后，其中隔吸收<span style="color: black;">出现</span><span style="color: black;">阻碍</span><span style="color: black;">引起</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></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">贰</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">子宫纵膈<span style="color: black;">归类</span></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">纵隔子宫</span><span style="color: black;">Buttram</span><span style="color: black;"><span style="color: black;">归类</span>为第</span><span style="color: black;">Ⅴ</span><span style="color: black;">类。并将纵隔子宫分为两种类型。纵隔由宫底到宫颈内口或外口为完全纵隔子宫；纵隔终止于宫颈内口以上的任何部位为不全纵隔子宫。纵隔在外口以上的部位可有交通。完全纵隔子宫合并阴道纵隔，<span style="color: black;">少许</span><span style="color: black;">一边</span>阴道闭锁，伴泌尿系统<span style="color: black;">生长</span>不全。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><img src="https://mmbiz.qpic.cn/mmbiz_jpg/42G2TO0v4tdttaBdvMnibNdTXqlR3ElwC6goDVHAPT1fcaPWvj4djzW5uTIvquUU6xP1eyYUMTYEoSpEwwU62SA/640?wx_fmt=jpeg&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;"></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">叁</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">临床表现</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">1</span><span style="color: black;">．反复流产据资料统计，近</span><span style="color: black;">15</span><span style="color: black;">％～</span><span style="color: black;">25%</span><span style="color: black;">的反复流产是<span style="color: black;">由于</span>畸形子宫<span style="color: black;">导致</span>，其中纵隔子宫占大<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，纵隔子宫<span style="color: black;">出现</span>率很高。有<span style="color: black;">报告</span>，纵隔子宫<span style="color: black;">女性</span>妊娠<span style="color: black;">初期</span></span><span style="color: black;">(</span><span style="color: black;">孕</span><span style="color: black;">12</span><span style="color: black;">周</span><span style="color: black;">)</span><span style="color: black;">流产<span style="color: black;">出现</span>率为</span><span style="color: black;">25.5%</span><span style="color: black;">，晚期流产率为</span><span style="color: black;">6.2</span><span style="color: black;">％。这暗示子宫纵隔影响胚胎<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>。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">2</span><span style="color: black;">．<span style="color: black;">不育</span>纵隔子宫<span style="color: black;">不育</span><span style="color: black;">出现</span>率为</span><span style="color: black;">17%</span><span style="color: black;">～</span><span style="color: black;">35</span><span style="color: black;">％，接受纵隔子宫矫形手术后妊娠率为</span><span style="color: black;">48</span><span style="color: black;">％。<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 style="color: black;">明显</span><span style="color: black;">升高</span>达</span><span style="color: black;">40%</span><span style="color: black;">。<span style="color: black;">因此呢</span><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></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">3</span><span style="color: black;">．异位妊娠（<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（<span style="color: black;">亦</span><span style="color: black;">叫作</span>宫外孕）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>难以及早作出诊断。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">4</span><span style="color: black;">．产科<span style="color: black;">反常</span><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><span style="color: black;">ll</span><span style="color: black;">％～</span><span style="color: black;">28</span><span style="color: black;">％。矫形术后早产率可降至</span><span style="color: black;">6</span><span style="color: black;">％～</span><span style="color: black;">9</span><span style="color: black;">％。子宫畸形还可<span style="color: black;">引起</span>胎位<span style="color: black;">反常</span>、子宫收缩功能失调、胎盘滞留等产科并发症。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">肆</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">辅助诊断</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><span style="color: black;">一</span><span style="color: black;">)</span><span style="color: black;">超声<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;">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。<img src="https://mmbiz.qpic.cn/mmbiz_jpg/42G2TO0v4tdttaBdvMnibNdTXqlR3ElwCN4s7akficrsgUkWlEj3EhKgKEYk3Sx3NkHJicrib4oaUr4vMheDzhCgoQ/640?wx_fmt=jpeg&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;"></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"> <img src="https://mmbiz.qpic.cn/mmbiz_jpg/42G2TO0v4tdttaBdvMnibNdTXqlR3ElwClpoaI2uLiaTUQNdFONZ8NZRribEeezKMjhQGQSa8MFbwYO6eWDXg3G8A/640?wx_fmt=jpeg&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;"></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><span style="color: black;">二</span><span style="color: black;">)</span><span style="color: black;">碘油造影</span></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">较为常用</span><span style="color: black;">,</span><span style="color: black;"><span style="color: black;">经过</span>造影<span style="color: black;">检测</span><span style="color: black;">常常</span>能<span style="color: black;">知道</span>诊断</span><span style="color: black;">,</span><span style="color: black;">但碘油造影<span style="color: black;">不可</span>区分双角子宫与不完全纵隔子宫</span><span style="color: black;">,</span><span style="color: black;"><span style="color: black;">亦</span><span style="color: black;">不可</span>区分双子宫和完全纵隔子宫</span><span style="color: black;">,</span><span style="color: black;">但仍不失为诊断子宫畸的较好<span style="color: black;">办法</span>。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"> <img src="https://mmbiz.qpic.cn/mmbiz_jpg/42G2TO0v4tdttaBdvMnibNdTXqlR3ElwCB3aySlWHlyXO7XlRSpH391m9iaACz3MtmPl3DGqiaEsx37Q2X1WO6UfA/640?wx_fmt=jpeg&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;"></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"> <img src="https://mmbiz.qpic.cn/mmbiz_png/42G2TO0v4tcRUb4AHZDiaoWibRYEQcwQRkicibfLIDvSE3EvzUic6M1cMf9dibKIyubgqSiahHlO78V7Gwc8ibC74eLhWg/640?tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;"></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><span style="color: black;">三</span><span style="color: black;">)</span><span style="color: black;">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;">近年来较为常用</span><span style="color: black;">,</span><span style="color: black;">既可观察宫腔内形态</span><span style="color: black;">,</span><span style="color: black;"><span style="color: black;">知道</span>有<span style="color: black;">没</span>纵隔及纵隔类型</span><span style="color: black;">,</span><span style="color: black;">又可在镜下切除纵隔</span><span style="color: black;">,</span><span style="color: black;">达到治疗目的。</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/42G2TO0v4tdttaBdvMnibNdTXqlR3ElwCh9IFovRXbRxZEXmgYonJWEtlRibZzxXicdWVWSWQh6YwF2PYfialYGGPA/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;"><img src="https://mmbiz.qpic.cn/mmbiz_jpg/42G2TO0v4tdttaBdvMnibNdTXqlR3ElwC9X01iayMRSrsmdibLtkPFnrDBib7xGDPCoSeBHUS985T43ZTvl4ZfWicqQ/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;">(</span><span style="color: black;">四</span><span style="color: black;">)</span><span style="color: black;">腹腔镜探查</span></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">虽然<span style="color: black;">都数</span>病例可采用宫腔镜<span style="color: black;">检测</span>诊断</span><span style="color: black;">,</span><span style="color: black;">但腹腔镜探查结合碘油造影仍不失为一种有效的<span style="color: black;">办法</span></span><span style="color: black;">,</span><span style="color: black;">可<span style="color: black;">知道</span>鉴别双角子宫与不完全纵隔子宫、双子宫与完全纵隔子宫。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">伍</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">诊断</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/42G2TO0v4tcRUb4AHZDiaoWibRYEQcwQRksaexlnSrFxgYoWHeytbxw7UzWHycYShLu8Ul9hLOiaQa8gRTkpLGNkw/640?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;">诊断思路</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">在临床上<span style="color: black;">首要</span>要<span style="color: black;">注意</span>子宫畸形的诊断</span><span style="color: black;">,</span><span style="color: black;">尤其是在妇科<span style="color: black;">检测</span>时<span style="color: black;">发掘</span>宫颈在阴道穹部位置极不对<span style="color: black;">叫作</span></span><span style="color: black;">,</span><span style="color: black;">宫颈特大且有纵隔时</span><span style="color: black;">,</span><span style="color: black;">应想到有纵隔子宫的可能。阴道有纵隔者</span><span style="color: black;">,</span><span style="color: black;">婚后<span style="color: black;">不育</span>或反复多次自然流产、人流漏吸、<span style="color: black;">导致</span>继续妊娠者应高度<span style="color: black;">警觉</span>纵隔子宫的存在</span><span style="color: black;">,</span><span style="color: black;">进一步<span style="color: black;">检测</span>予以排除。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">鉴别诊断</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">完全纵隔子宫应与双子宫相鉴别</span><span style="color: black;">,</span><span style="color: black;">而不完全纵隔子宫应与双角子宫相鉴别。双角子宫的超声显像特征为子宫体、子宫颈横切面较宽</span><span style="color: black;">,</span><span style="color: black;">但宫底部横切面可见羊角形两个子宫角</span><span style="color: black;">,</span><span style="color: black;">两角内可见分叶状宫腔波。如鉴别有困难</span><span style="color: black;">,</span><span style="color: black;">必要时可<span style="color: black;">经过</span>剖腹探查进行区分。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">诊断标准</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">诊断在临床确认<span style="color: black;">仅有</span>一个子宫的<span style="color: black;">基本</span>上<span style="color: black;">才可</span>确立。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">1</span><span style="color: black;">、完全纵膈子宫</span><span style="color: black;">中隔自宫底<span style="color: black;">始终</span>延伸至宫颈内口者。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">2</span><span style="color: black;">、不完全纵膈子宫</span><span style="color: black;">中隔从宫底延伸，但未到达宫颈内口水平，仅将宫颈部分隔开者。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">陆</strong></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;">害处</span></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">1</span><span style="color: black;">、子宫纵隔与怀孕其实<span style="color: black;">便是</span>经常<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><span style="color: black;">ll%~28%.</span><span style="color: black;">矫形术后早产率可降至</span><span style="color: black;">6%~9%.</span><span style="color: black;">子宫畸形还可<span style="color: black;">引起</span>胎位<span style="color: black;">反常</span>、子宫收缩功</span><span style="color: black;">能失调、胎盘滞留等产科并发症。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">2</span><span style="color: black;">、异位妊娠（<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（<span style="color: black;">亦</span><span style="color: black;">叫作</span>宫外孕）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>难以及早作</span><span style="color: black;">出诊断。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">3</span><span style="color: black;">、子宫纵隔与怀孕的<span style="color: black;">出现</span>率为</span><span style="color: black;">17%~35%,</span><span style="color: black;">接受纵隔子宫矫形手术后妊娠率为</span><span style="color: black;">48%.</span><span style="color: black;"><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>率显着<span style="color: black;">升高</span>达</span><span style="color: black;">40 %.</span><span style="color: black;">因</span><span style="color: black;">此<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 style="color: black;">。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;"><span style="color: black;">以上从阐述了子宫纵膈的<strong style="color: blue;"><span style="color: black;">病因、<span style="color: black;">归类</span>、诊断及危<strong style="color: blue;"><span style="color: black;">害，<span style="color: black;">此刻</span><span style="color: black;">大众</span>该问了，那到底要不要手术治疗，<strong style="color: blue;"><span style="color: black;">下面<span style="color: black;">咱们</span>就来探讨一下。</span></strong></span></strong></span></strong></span></strong></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;"><span style="color: black;">倘若</span><span style="color: black;">病人</span>既往已正常生育有子女，仅是妇科<span style="color: black;">检测</span><span style="color: black;">发掘</span>子宫纵膈，以后<span style="color: black;">没</span>生育<span style="color: black;">需求</span>，那就不必做手术了；<span style="color: black;">倘若</span>该<span style="color: black;">病人</span>因<span style="color: black;">不育</span><span style="color: black;">检测</span>出该<span style="color: black;">疾患</span>，在排除其它<span style="color: black;">不育</span><span style="color: black;">原因</span>后，就<span style="color: black;">能够</span><span style="color: black;">思虑</span>手术治疗，还有一种<span style="color: black;">状况</span>，<span style="color: black;">倘若</span><span style="color: black;">病人</span>既往有<span style="color: black;">太多</span>次流产、早产史，还有生育<span style="color: black;">需求</span>，这个<span style="color: black;">状况</span><span style="color: black;">亦</span>是要<span style="color: black;">思虑</span>手术治疗的。</span></strong></p>
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