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残角子宫是少见的子官发育畸形,常在残角妊娠后才被发现,而能达到足月妊娠更为罕见。本文报告2例足月残角子宫妊娠,并进行初步探讨。 [例1]张某,女,26岁。主诉停经39周,腹痛2天,胎动消失2天入院。妊娠5月余时发现无原因无痛性阴道流血,时多时少。曾住院治疗,经用止血药及休息好转出院。妊娠8个月时又无原因无痛性阴道流血入院。检查:宫底脐上三横指,枕左前位,胎心良好,阴道流血未超过月经量。未作内诊检查。诊断:妊娠33周,前置胎盘。经治疗好转出院。出院后一般情况良好。于入院前两天又因腹痛,胎动消失而来院。既往健康,孕3,产2。查体:一般情况良好,宫底剑突下四横指,子宫呈持续
Residual horn uterus is a rare abnormal development of the child, often found in residual horn pregnancy, but can achieve more common in term pregnancy. This article reports 2 cases of full-term residual angle uterine pregnancy, and to conduct a preliminary study. [Example 1] Zhang, female, 26 years old. The main complaint menopause 39 weeks, 2 days abdominal pain, fetal movement disappeared 2 days admitted. More than five months of pregnancy found no reason painless vaginal bleeding, sometimes more. Had hospitalized, hemodialysis and rest by the hospital. 8 months of pregnancy and no reason painless vaginal bleeding admission. Check: Uterine Palace on the three cross refers to the left front occipital, fetal heart rate is good, vaginal bleeding does not exceed the amount of menstruation. Not for internal examination. Diagnosis: 33 weeks of gestation, placenta previa. After treatment improved discharged. After discharge, the general situation is good. Two days before admission because of abdominal pain, fetal movement disappeared from the hospital. Past health, pregnancy 3, 2. Physical examination: the general condition is good, the bottom of the sword xiphoid four horizontal refers to the uterus was continued