残角子宫罕见,常常被误诊。本文报道两例残角子宫妊娠破裂,并对误诊误治原因进行分析。 一、病历报告 例1,女,26岁,孕2产0,因停经2月,下腹部疼痛12小时伴恶心呕吐于1993年6月3日入院。入院后查尿hCG(+),血压由14/9kPa下降至10/6kPa,经后穹隆穿刺抽出不凝固血液,诊断为宫外孕破裂行急症手术。术中见腹腔内约2000ml血液,右侧子宫正常,稍大,左侧子宫无宫颈由一层结缔组 Rudimentary horn uterus rare, often misdiagnosed. This article reports the rupture of rudimentary horn rupture in two cases, and analyzes the causes of misdiagnosis and mistreatment. First, medical records report 1, female, 26 years old, 2 pregnant 0, due to menopause in February, 12 hours of lower abdominal pain with nausea and vomiting in June 3, 1993 admission. After admission urinary hCG (+), blood pressure decreased from 14 / 9kPa to 10 / 6kPa, after the fornix puncture out of non-coagulated blood, diagnosis of ectopic pregnancy rupture emergency surgery. Intraoperative intraoperative see about 2000ml of blood, the right uterus normal, slightly larger, the left uterine cervix by a layer of connective tissue