Barnacle Scott J, Robinson Randal D, Malinowski Marshall J
Division of Reproductive Endocrinology and Infertility, Department of Obstetrics and Gynecology, Wilford Hall Medical Center/Brooke Army Medical Center, Texas, USA.
J Reprod Med. 2007 Jun;52(6):570-4.
Noncommunicating, rudimentary uterine horns are often removed to prevent potential pregnancy complications or to treat patients who develop pain from functional endometrium within the horn. Historically, these have been removed via laparotomy. Recently, resections of noncommunicating uterine horns have been performed laparoscopically using many different devices. We report 3 patients who underwent laparoscopic resection using the harmonic scalpel.
Three patients were diagnosed with this condition at our institution between 2000 and 2003. All underwent laparoscopic resection using the harmonic scalpel without complications. All patients were discharged from the hospital on the day of surgery. Two patients subsequently had term vaginal deliveries.
Resection of a rudimentary uterine horn by laparoscopy using the harmonic scalpel is an option for patients diagnosed with noncommunicating, rudimentary uterine horns. This modality might offer some advantages for patients who must undergo resection.
非交通性残角子宫常被切除以预防潜在的妊娠并发症，或治疗因残角内功能性子宫内膜而出现疼痛的患者。过去，这些手术是通过开腹进行的。近来，已使用多种不同器械通过腹腔镜对非交通性残角子宫进行切除。我们报告3例使用超声刀行腹腔镜切除术的患者。
2000年至2003年期间，我院有3例患者被诊断为此病。所有患者均使用超声刀行腹腔镜切除术，无并发症发生。所有患者均在手术当天出院。2例患者随后足月经阴道分娩。
对于诊断为非交通性残角子宫的患者，使用超声刀经腹腔镜切除残角子宫是一种选择。这种方式可能为必须接受切除术的患者带来一些优势。
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