残角子宫妊娠行期待治疗至妊娠晚期一例

doi:10.12280/gjfckx.20240918

国际妇产科学杂志 ›› 2025, Vol. 52 ›› Issue (1): 114-116.doi: 10.12280/gjfckx.20240918

• 产科生理及产科疾病:病例报告 • 上一篇下一篇

残角子宫妊娠行期待治疗至妊娠晚期一例

钟佩蕖, 招丽坚(), 邹欣欣

524003 广东省湛江市，广东医科大学附属第二医院产科（钟佩蕖，招丽坚）；广东医科大学附属医院妇科（邹欣欣）

收稿日期:2024-10-13 出版日期:2025-02-15 发布日期:2025-02-14
通讯作者: 招丽坚，E-mail：Donnazhao1226@163.com

A Case of Rudimentary Horn Pregnancy Undergoing Expectant Treatment until the Third Trimester

ZHONG Pei-qu, ZHAO Li-jian(), ZOU Xin-xin

Department of Obstetrics, The Second Affiliated Hospital of Guangdong Medical University, Zhanjiang 524003, Guangdong Province, China (ZHONG Pei-qu, ZHAO Li-jian); Department of Gynecology, Affiliated Hospital of Guangdong Medical University, Zhanjiang 524001, Guangdong Province, China (ZOU Xin-xin)

Received:2024-10-13 Published:2025-02-15 Online:2025-02-14
Contact: ZHAO Li-jian, E-mail: Donnazhao1226@163.com

摘要/Abstract

摘要：

残角子宫妊娠（rudimentary horn pregnancy，RHP）是一种罕见的异位妊娠，易导致子宫破裂等严重后果。通过分析1例RHP病例，探讨了期待治疗管理策略及终止妊娠时机。患者因停经27⁺⁴周，不规则下腹痛1 d入院，经B超检查确诊为RHP，患者拒绝手术，在严密观察下予抑制宫缩等对症治疗，于孕30⁺¹周因宫缩频繁行剖宫产娩出一活婴。因此，在明确诊断、监护条件良好和手术准备充分的情况下，RHP可以考虑期待治疗，以尽可能获得存活新生儿。

关键词: 子宫破裂, 妊娠, 诊断, 治疗, 病例报告

Abstract:

Rudimentary horn pregnancy (RHP) is a rare type of ectopic pregnancy, which is prone to serious consequences such as uterine rupture. In this article, we analyzed a case of RHP and discussed the expectant treatment management strategy and the timing of termination of pregnancy. The patient was admitted to the hospital with irregular lower abdominal pain for 1 day at 27⁺⁴ weeks of gestation, and was diagnosed with RHP by ultrasound. The patient refused to undergo surgery, and was given symptomatic treatments such as suppression of uterine contractions under close observation. At 30⁺¹ weeks of gestation, a live baby was delivered by cesarean section due to frequent uterine contractions. Therefore, with a clear diagnosis, good monitoring conditions, and adequate surgical preparation, RHP can be considered expectant treatment to obtain as many surviving newborns as possible.

Key words: Uterine rupture, Pregnancy, Diagnosis, Therapy, Case report

钟佩蕖, 招丽坚, 邹欣欣. 残角子宫妊娠行期待治疗至妊娠晚期一例[J]. 国际妇产科学杂志, 2025, 52(1): 114-116.

ZHONG Pei-qu, ZHAO Li-jian, ZOU Xin-xin. A Case of Rudimentary Horn Pregnancy Undergoing Expectant Treatment until the Third Trimester[J]. Journal of International Obstetrics and Gynecology, 2025, 52(1): 114-116.

图/表 2

参考文献 14

[1]	Ma YC, Law KS. Pregnancy in a Non-Communicating Rudimentary Horn of Unicornuate Uterus[J]. Diagnostics(Basel), 2022, 12(3):759. doi: 10.3390/diagnostics12030759.
[2]	林明媚, 葛逸盟, 杨硕, 等. 残角子宫妊娠12例临床分析并文献复习[J]. 中华妇产科杂志, 2024, 59(1):49-55. doi: 10.3760/cma.j.cn112141-20231112-00184.
[3]	Coakley KE, Yang TB, Chung JH. Periviable delivery of a pregnancy in a rudimentary uterine horn: A case report[J]. Case Rep Womens Health, 2021,32:e00346. doi: 10.1016/j.crwh.2021.e00346.
[4]	Obeidat RA, Aleshawi AJ, Tashtush NA, et al. Unicornuate uterus with a rudimentary non-communicating cavitary horn in association with VACTERL association: case report[J]. BMC Womens Health, 2019, 19(1):71. doi: 10.1186/s12905-019-0768-4. pmid: 31146728
[5]	The American Fertility Society classifications of adnexal adhesions, distal tubal occlusion, tubal occlusion secondary to tubal ligation, tubal pregnancies, müllerian anomalies and intrauterine adhesions[J]. Fertil Steril, 1988, 49(6):944-955. doi: 10.1016/s0015-0282(16)59942-7. pmid: 3371491
[6]	Xu S, Zhang J, Yue S, et al. A case of rudimentary uterine horn pregnancy complicated with placental implantation in later stages of pregnancy[J]. Quant Imaging Med Surg, 2024, 14(1):1167-1172. doi: 10.21037/qims-23-889.
[7]	Dhanju G, Goubran A, Zimolag L, et al. Distinguishing between cornual, angular and interstitial ectopic pregnancy: A case report and a brief literature review[J]. Radiol Case Rep, 2023, 18(7):2531-2544. doi: 10.1016/j.radcr.2023.04.028.
[8]	Wang L, Ren S, Zhang Y, et al. Non-communicated rudimentary uterine horn pregnancy and uterine rupture: A case report[J]. SAGE Open Med Case Rep, 2022,10:2050313X221104034. doi: 10.1177/2050313X221104034.
[9]	武文斌, 景红霞, 胡培, 等. 超声诊断孕早期残角子宫妊娠1例[J]. 湖北医药学院学报, 2021, 40(2):197-198. doi: 10.13819/j.issn.2096-708X.2021.02.020.
[10]	李仪, 杨春芬, 郭江虹, 等. 子宫残角妊娠破裂并继发性腹腔妊娠单胎活产一例[DB/OL]. 中国临床案例成果数据库, 2022,4(1):E01083. doi: 10.3760/cma.j.cmcr.2022.e01083.
[11]	Gonçalves E, Prata JP, Ferreira S, et al. An unexpected near term pregnancy in a rudimentary uterine horn[J]. Case Rep Obstet Gynecol, 2013,2013:307828. doi: 10.1155/2013/307828.
[12]	Isono W, Tsuchiya A, Honda M, et al. Successful Management of a Noncommunicating Rudimentary Uterine Horn Pregnancy by Laparoscopic Surgery: A Case Report and Literature Review[J]. Gynecol Minim Invasive Ther, 2022, 11(1):7-16. doi: 10.4103/GMIT.GMIT_157_20. pmid: 35310117
[13]	刘桂新, 刘玉萍. 残角子宫妊娠1例报告[J]. 中国社区医师, 2015, 31(36):127,129. doi: 10.3969/j.issn.1007-614x.2015.36.80.
[14]	刘喆, 杨慧霞, 辛虹, 等. 全国多中心子宫破裂现状调查及结局分析[J]. 中华妇产科杂志, 2019, 54(6):363-368. doi: 10.3760/cma.j.issn.0529?567x.2019.06.002.

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残角子宫妊娠行期待治疗至妊娠晚期一例

A Case of Rudimentary Horn Pregnancy Undergoing Expectant Treatment until the Third Trimester

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