子宫纵膈，最后晓得怀不上的原由！
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">子宫纵膈是子宫先天<span style="color: black;">生长</span>过程中，腔化不全的表现，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，宫腔容积比较小多囊卵巢综合症<span style="color: black;">病人</span>多并发纵隔。纵膈子宫是比较多见的子宫畸形并且妊娠<span style="color: black;">结果</span>最差据统计，子宫纵膈<span style="color: black;">引起</span>的妊娠失败率可高达85%～90 %。流产率、早产率、臀位、胎膜早破、前置胎盘、产后<span style="color: black;">反常</span><span style="color: black;">流血</span>及胎儿宫内<span style="color: black;">生长</span>迟缓<span style="color: black;">出现</span>率均较正常妊娠高出数倍。</p>
<div style="color: black; text-align: left; margin-bottom: 10px;"><img src="https://pic4.zhimg.com/80/v2-df3569ebe8a5ef3e84fbbe1ef31d12fb_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;">那子宫纵膈有<span style="color: black;">那些</span>症状表现？</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">1、反复流产：</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"> 畸形子宫的<span style="color: black;">显现</span><span style="color: black;">引起</span>了近15%～25 %的反复流产，纵膈子宫占很大部分。在反复妊娠失败尤其是<span style="color: black;">初期</span>妊娠失败的女性中，纵膈子宫有很高的发病率。子宫纵膈会影响胚胎<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>早、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;"> 2、<span style="color: black;">不育</span>：</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">纵膈子宫<span style="color: black;">不育</span><span style="color: black;">出现</span>率为17%～35%，接受纵膈子宫矫形手术后妊娠率为48%。<span style="color: black;">亦</span>有学者认为纵膈子宫并非<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40 %。<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>中子宫纵膈是影响受孕的<span style="color: black;">原因</span>之一。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"> 3、异位妊娠(<span style="color: black;">亦</span><span style="color: black;">叫作</span>宫外孕)：</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><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>难以及早作出诊断。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"> 4、产科<span style="color: black;">反常</span>：</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"> <span style="color: black;">因为</span>纵膈的影响，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>、子宫收缩功能失调、胎盘滞留等产科并发症。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">5、白带分泌<span style="color: black;">太多</span>：</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"> 女性<span style="color: black;">伴侣</span>倘若<span style="color: black;">身患</span>子宫纵膈的话将会有<span style="color: black;">海量</span>脓血性白带症状，有些女性的白带还可能会呈现出腐肉样的白带，<span style="color: black;">同期</span>还可能伴有着感染性的臭味。 </p>
<div style="color: black; text-align: left; margin-bottom: 10px;"><img src="https://pic4.zhimg.com/80/v2-eca5e5b73bfdcb94b3c2f141c076aa07_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;"> 6、<span style="color: black;">大姨妈</span>不调：</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"> 若女性<span style="color: black;">显现</span>了<span style="color: black;">很强</span>的子宫纵膈的话<span style="color: black;">大姨妈</span>量<span style="color: black;">亦</span>将会<span style="color: black;">显著</span><span style="color: black;">增加</span>，<span style="color: black;">同期</span>相应的<span style="color: black;">大姨妈</span>经期<span style="color: black;">亦</span>会延长，还可能会<span style="color: black;">显现</span>阴道不规则流血的<span style="color: black;">状况</span>等。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"> 7、继发性贫血：</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">如若是女性<span style="color: black;">伴侣</span><span style="color: black;">长时间</span><span style="color: black;">大姨妈</span>量较多的话较易<span style="color: black;">导致</span>继发性的贫血，<span style="color: black;">一般</span>这类<span style="color: black;">病人</span>脸色比较苍白，会有心慌、全身<span style="color: black;">没</span>力等症状。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">怎么去<span style="color: black;">检测</span>和治疗子宫纵膈？</p>
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<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">【子宫纵隔的<span style="color: black;">检测</span><span style="color: black;">办法</span>】</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">1、子宫输卵管造影：<span style="color: black;">能够</span>对宫腔内<span style="color: black;">显现</span>的的纵膈的长度和厚度进行诊断。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"> 子宫输卵管碘水造影：显影快、20-30分钟出结果、<span style="color: black;">没</span>痛<span style="color: black;">没</span>创、安全度高、易于吸收。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">2、<span style="color: black;">彩超</span><span style="color: black;">检测</span>： <span style="color: black;">彩超</span><span style="color: black;">检测</span>是检查子宫纵隔的准确<span style="color: black;">办法</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">3、宫腔镜<span style="color: black;">检测</span>：宫腔镜<span style="color: black;">能够</span>对<span style="color: black;">病人</span>宫腔的形态以及纵膈的<span style="color: black;">状况</span>作出诊断，直观、有效。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">子宫纵隔对女性的<span style="color: black;">害处</span>是很大的，<span style="color: black;">检测</span>确诊后，要积极的进行治疗，避免对身体<span style="color: black;">导致</span>更大的<span style="color: black;">损伤</span>。</p>
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<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">【子宫纵隔<span style="color: black;">怎样</span>治疗】</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">1、宫腹腔镜下冷剪刀分离法</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">宫腔镜子宫纵膈分离术避免了传统手术<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，创伤下，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>了生育能力，不影响术后自然受孕。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">2、宫腔镜下冷器械和等离子电针治疗</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">宫腔镜下冷器械和等离子电针切开纵膈，而不要用电切环切除纵膈，那样会<span style="color: black;">引起</span>瘢痕挛缩，<span style="color: black;">没</span>益扩大宫腔，在腹腔镜监护下做更安全和准备，术后放入生物防黏膜。还有<span style="color: black;">很强</span>纵膈不<span style="color: black;">需求</span>一次到位，<span style="color: black;">能够</span>多次手术，切忌“矫枉过正”，那样会<span style="color: black;">导致</span>宫底瘢痕过大，反而影响受孕。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">3、孕期及分娩期的处理</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">（1）孕期处理子宫纵膈妊娠流产与早产率高，应加强监护，严格观察有<span style="color: black;">没</span>宫颈功能不全。如有<span style="color: black;">没</span>痛性宫颈展平或开大，应行宫颈环扎术。孕期<span style="color: black;">检测</span>胎盘附着部位，<span style="color: black;">初期</span><span style="color: black;">发掘</span>前置胎盘。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">（2）分娩期子宫纵膈可引导分娩，如有继发宫缩<span style="color: black;">没</span>力、第二产程延长。</p>
<div style="color: black; text-align: left; margin-bottom: 10px;"><img src="https://pic3.zhimg.com/80/v2-266bb43ccc42c3b105dfbf9351afc80a_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;">提示：</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;">必须</span><span style="color: black;">按照</span><span style="color: black;">病人</span>的<span style="color: black;">状况</span>来决定<span style="color: black;">是不是</span><span style="color: black;">必须</span>治疗的，<span style="color: black;">倘若</span>是轻度的不影响怀孕的<span style="color: black;">能够</span>不<span style="color: black;">必须</span>治疗，中重度的伴有完全子宫纵膈的，<span style="color: black;">必须</span>看双侧子宫<span style="color: black;">体积</span><span style="color: black;">是不是</span>正常，<span style="color: black;">倘若</span>正常输卵管<span style="color: black;">没</span><span style="color: black;">反常</span>的<span style="color: black;">亦</span>是<span style="color: black;">能够</span>观察的，<span style="color: black;">然则</span>都偏小的<span style="color: black;">必要</span>给予手术治疗<span style="color: black;">以避免</span>流产<span style="color: black;">或</span>早产的可能。</p>
这篇文章真的让我受益匪浅，外链发布感谢分享！ 认真阅读了楼主的帖子，非常有益。 楼主的文章非常有意义，提升了我的知识水平。 顶楼主，说得太好了！
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