Bicornuate uterus

　　Bicornuate uterus is the result of incomplete fusion of the paramesonephric ducts, forming two separate uterine bodies and cervixes, with their own fallopian tubes, ovaries, and round ligaments. Bicornuate uterus, vaginal septum, and unilateral vaginal atresia are often accompanied by urinary system abnormalities, mostly due to abnormal development of one kidney.

　　1. After bicornuate pregnancy, due to insufficient uterine blood supply and incomplete placental function, the incidence of IUGR is about 10 times higher than that in normal pregnancy. Abnormal fetal presentation is more common, and subsequently, the incidence of premature rupture of membranes is also high. Uteroplacental ischemia and hypoxia is one of the causes of hypertension during pregnancy. Insufficient blood supply to the uterine muscle wall in bicornuate uterus, placental ischemia and hypoxia, the incidence of hypertension during pregnancy is twice that of normal pregnancy, and the incidence of placental abruption also increases due to the high incidence of hypertension during pregnancy. Poor development of the uterine muscle wall in bicornuate uterus, weak uterine contractions, and increased postpartum hemorrhage. In the late pregnancy of bicornuate uterus, there may be natural uterine rupture. In bicornuate uterus, one side of the round ligament and broad ligament, after pregnancy, the uterus ascends into the uterine cavity, due to changes in position or other triggers, the uterus becomes unbalanced and twists. Uterine torsion often occurs between 20-28 weeks of gestation, with sudden onset of severe abdominal pain, vaginal bleeding, massive intraperitoneal hemorrhage shock, placental abruption, uterine rupture, DIC, and other serious complications. The non-pregnant side of the bicornuate uterus can obstruct the descent of the presenting part, causing mechanical dystocia of the birth canal. Bicornuate uterus with bilateral pregnancy is rare, with an incidence of one in a million. There are reports of bicornuate uterus with bilateral pregnancy and asynchronous delivery in foreign literature.

　　The impact of bicornuate uterus on mother and child: The presence of hypertension during pregnancy, placental abruption, placenta previa, uterine torsion, and uterine rupture can all affect the safety of the mother's life. Poor development of the uterine muscle, insufficient blood supply, and a high incidence of IUGR (intrauterine growth restriction) result in lower birth weight of the fetus compared to normal pregnant women of the same gestational age. Due to the higher incidence of complications during pregnancy in bicornuate uterus than in normal pregnant women, the incidence of intrauterine fetal distress, stillbirth, perinatal death, and neonatal asphyxia increases, and the perinatal mortality rate is also high.

　　Patients have no自觉 symptoms, and it is generally discovered accidentally during artificial abortion, prenatal examination, or even delivery. It is possible to mis刮 the non-pregnant side uterus during early artificial abortion, resulting in missed abortion and continued growth of the uterus. The rate of abnormal fetal position in the late stage of pregnancy increases, and the non-pregnant side uterus may obstruct the descent of the presenting part during delivery, and uterine contraction insufficiency is also more common, so the rate of cesarean section increases. Unilateral pregnancy can occasionally be seen in patients with bicornuate uterus, that is, after fertilization of eggs at different times, each side of the uterus has a fetus. There are also cases of bicornuate uterus and single vagina, or a longitudinal septum in the vagina, which is similar to the above bicornuate uterus, but may be due to the vaginal septum obstructing sexual intercourse, resulting in difficulty or pain during sexual intercourse. The two paramesonephric ducts are completely unfused, each developing into two uteruses and two cervixes, and the vagina is completely separated. Each side of the uterus has a single fallopian tube and ovary.

 This disease belongs to a congenital disease, which is usually discovered accidentally later on, so there are no effective preventive measures. It is recommended that pregnant women do prenatal examinations well, and detect and treat early.

      Bicornuate uterus is the result of incomplete fusion of the bilateral paramesonephric ducts, forming two separate uterine bodies and cervixes. The diagnosis of bicornuate uterus mainly relies on related auxiliary examinations. Patients have no自觉 symptoms, and it is generally discovered accidentally during artificial abortion, prenatal examination, or even delivery. It is possible to mis刮 the non-pregnant side uterus during early artificial abortion, resulting in missed abortion and continued growth of the uterus. The rate of abnormal fetal position in the late stage of pregnancy increases, and the non-pregnant side uterus may obstruct the descent of the presenting part during delivery, and uterine contraction insufficiency is also more common, so the rate of cesarean section increases. Unilateral pregnancy can occasionally be seen in patients with bicornuate uterus, that is, after fertilization of eggs at different times, each side of the uterus has a fetus. There are also cases of bicornuate uterus and single vagina, or a longitudinal septum in the vagina, which is similar to the above bicornuate uterus, but may be due to the vaginal septum obstructing sexual intercourse, resulting in difficulty or pain during sexual intercourse. The two paramesonephric ducts are completely unfused, each developing into two uteruses and two cervixes, and the vagina is completely separated. Each side of the uterus has a single fallopian tube and ovary.

　　Firstly, eat:

　　1. Eat foods that have antibacterial and anti-inflammatory effects;

　　2. Eat foods that clear heat and detoxify the body;

　　3. Eat foods that enhance human immunity.

　　Secondly, avoid eating:

　　1. Avoid eating foods rich in fat; such as butter, chicken fat, duck fat;

　　2. Avoid eating spicy and刺激性 foods; such as chili, white wine, Sichuan pepper;

　　3. Avoid eating unfermented foods; such as salted eggs, salted fish, salted meat.

　　For the treatment of bicornuate uterus, electronic laparoscopic cold knife fusion surgery is adopted. The specific surgical plan is: make a transverse incision from one uterine horn to the opposite uterine horn, cut the muscle wall in half, and suture the incisions on both sides together. This operation has minimal trauma, fast postoperative recovery, short hospital stay, and a postoperative delivery rate of live infants up to 80-95%.