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伴有宫颈重复的纵隔子宫:对苗勒管异常发育的重新思考

Septate uterus with cervical duplication: rethinking the development of müllerian anomalies.

作者信息

Fatum Mohammad, Rojansky Nathan, Shushan Asher

机构信息

Department of Obstetrics and Gynecology, Hadassah Ein-Kerem Medical Center, Hebrew University, Jerusalem, Israel.

出版信息

Gynecol Obstet Invest. 2003;55(3):186-8. doi: 10.1159/000071535.

DOI:10.1159/000071535
PMID:12865601
Abstract

We present a case of a septate uterus with duplication of the cervix and a vaginal septum, which challenges the embryologic concept of unidirectional caudad to cephalad müllerian ducts fusion. This unique case is, to the best of our knowledge, the seventh reported case of this müllerian anomaly. It challenges the classic theory of unidirectional caudad to cephalad fusion of the müllerian ducts, and might be additional evidence to support the hypothesis suggested by Musset et al. Accurate diagnosis and reports of such cases are important not only for the benefit of treatment, but to reflect the true incidence of this anomaly, and consolidate the embryologic concept.

摘要

我们报告一例伴有宫颈重复和阴道纵隔的纵隔子宫病例,该病例对苗勒管从尾侧向头侧单向融合的胚胎学概念提出了挑战。据我们所知,这一独特病例是该苗勒管异常的第七例报告病例。它对苗勒管从尾侧向头侧单向融合的经典理论提出了挑战,可能是支持Musset等人提出的假说的额外证据。准确诊断和报告此类病例不仅对治疗有益,而且对于反映这种异常的真实发病率以及巩固胚胎学概念都很重要。

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1
Septate uterus with cervical duplication: rethinking the development of müllerian anomalies.伴有宫颈重复的纵隔子宫:对苗勒管异常发育的重新思考
Gynecol Obstet Invest. 2003;55(3):186-8. doi: 10.1159/000071535.
2
Septate uterus with cervical duplication and longitudinal vaginal septum: a report of three new cases.伴有宫颈重复和阴道纵隔的纵隔子宫:三例新病例报告
Eur J Obstet Gynecol Reprod Biol. 1996 Apr;65(2):241-3. doi: 10.1016/0301-2115(95)02333-x.
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Septate uterus with cervical duplication and a longitudinal vaginal septum: a müllerian anomaly without a classification.伴有宫颈重复及阴道纵隔的纵隔子宫:一种无分类的苗勒管异常。
Fertil Steril. 2006 Feb;85(2):494.e9-10. doi: 10.1016/j.fertnstert.2005.07.1324.
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Bicervical uterus and septate vagina: report of a previously undescribed Müllerian anomaly.双宫颈子宫和纵隔阴道:一例既往未描述的苗勒管异常报告。
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[Septate uterus with cervical duplication and vaginal partition: a rare malformation].[伴有宫颈重复和阴道分隔的纵隔子宫:一种罕见的畸形]
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Müllerian anomalies "without a classification": from the didelphys-unicollis uterus to the bicervical uterus with or without septate vagina.“未分类”的苗勒管异常:从双子宫单宫颈到有或无纵隔阴道的双宫颈子宫。
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A normal uterus communicating with a double cervix and the vagina: a müllerian anomaly without any present classification.一个正常子宫与双宫颈及阴道相通:一种未被现有任何分类涵盖的苗勒管异常。
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Septate uterus with cervical duplication: a rare malformation.伴有宫颈重复的纵隔子宫:一种罕见的畸形。
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引用本文的文献

1
New theory of uterovaginal embryogenesis.子宫阴道胚胎发生新理论。
Organogenesis. 2016 Jan 2;12(1):33-41. doi: 10.1080/15476278.2016.1145317. Epub 2016 Feb 22.
2
The comprehensiveness of the ESHRE/ESGE classification of female genital tract congenital anomalies: a systematic review of cases not classified by the AFS system.欧洲人类生殖与胚胎学会/欧洲妇科内镜学会女性生殖道先天性异常分类的全面性:对未按美国生育学会系统分类的病例的系统评价
Hum Reprod. 2015 May;30(5):1046-58. doi: 10.1093/humrep/dev061. Epub 2015 Mar 18.
3
Clinical characteristics of congenital cervical atresia based on anatomy and ultrasound: a retrospective study of 32 cases.
基于解剖学和超声的先天性宫颈闭锁的临床特征:32 例回顾性研究。
Eur J Med Res. 2014 Feb 21;19(1):10. doi: 10.1186/2047-783X-19-10.