T形子宫是一种子宫畸形，其中子宫的形状类似于字母T。这通常在暴露于DES的女性中观察到。 它在ESHRE / ESGE分类中得到认可，并与植入失败，异位妊娠的风险增加，流产和早产有关。 有外科手术可以纠正畸形。
T形子宫的子宫输卵管造影术。
标记物近端周围有圆形收缩的T形子宫。 子宫下部呈锥形变窄。
内容
1 原因
2 诊断
3 预后
4 参考
原因
T形畸形通常与子宫内暴露于DES相关（所谓的“ DES-daughters”），尽管它也是先天性的。
诊断
在几次妊娠失败后，通常通过探索性诊断程序，例如磁共振，超声检查，尤其是子宫输卵管造影术，对妇女进行诊断。在这样的研​​究中，观察到子宫管的间质和峡部变宽，以及整个子宫，特别是下部和侧面，子宫的收缩或变窄，因此命名为“ t”。子宫可能同时缩小，可能同时出现其他异常情况。
预后
T形子宫患者可以生孩子，但是在任何治疗之前和之后，他们都有更大的并发症风险，例如流产，生育力下降和早产。
当前的治疗这种畸形的外科手术方法称为宫腔镜矫正或子宫成形术，是通过对子宫壁进行侧向切口进行的，可以使器官恢复正常形态，同时改善患者的先前生殖能力。只要认为子宫内膜处于良好状态，它就被认为是低风险的手术，并且还可以将足月分娩率提高多达10倍。但是，手术后的风险包括胎盘增生，阿舍曼综合症和严重出血。
参考
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