Dwyer Peter L, Rosamilia Anna
Department of Urogynaecology, Mercy Hospital for Women, Melbourne, Australia.
Am J Obstet Gynecol. 2006 Aug;195(2):354-9. doi: 10.1016/j.ajog.2005.10.815. Epub 2006 Apr 21.
The embryogenesis and management of congenital urogenital anomalies that are associated with ureteric ectopia and the persistence of Gartner's duct are discussed. Ureteric ectopia with Gartner's duct cyst is caused by the failure of separation of the ureteric bud from the mesonephric duct, which leads to persistence of Gartner's duct, frequently with cystic dilation. Abnormal development of the ureter subsequently causes maldevelopment or absence of the ipsilateral kidney. The diagnosis and treatment of 2 adult women with congenital urethrovaginal fistula that was associated with unilateral single ectopic ureter, renal agenesis, and Gartner's duct anomaly are presented. Surgical repair of the urethrovaginal fistulae and removal of the Gartner's duct and cyst was performed transvaginally.
本文讨论了与输尿管异位及加特内管持续存在相关的先天性泌尿生殖系统异常的胚胎发生及处理。输尿管异位伴加特内管囊肿是由于输尿管芽与中肾管分离失败所致，这导致加特内管持续存在，并常伴有囊性扩张。随后输尿管的异常发育会导致同侧肾脏发育不良或缺失。本文介绍了2例成年女性先天性尿道阴道瘘的诊断和治疗，该瘘与单侧单发性异位输尿管、肾缺如及加特内管异常相关。经阴道对尿道阴道瘘进行了手术修复，并切除了加特内管和囊肿。
