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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。

A normal uterus communicating with a double cervix and the vagina: a müllerian anomaly without any present classification.

作者信息

Shirota Kyoko, Fukuoka Miyoko, Tsujioka Hiroshi, Inoue Yoshihito, Kawarabayashi Tatsuhiko

机构信息

Department of Gynecology and Obstetrics, Faculty of Medicine, Fukuoka University Hospital, Fukuoka, Japan.

出版信息

Fertil Steril. 2009 Mar;91(3):935.e1-3. doi: 10.1016/j.fertnstert.2008.09.042. Epub 2008 Nov 11.

DOI:10.1016/j.fertnstert.2008.09.042
PMID:19006794
Abstract

OBJECTIVE

To report a rare uterine anomaly consisting of a normal uterus, a double cervix, and a double vagina.

DESIGN

Case report.

SETTING

University hospital.

PATIENT(S): A 28-year-old nulligravida patient referred for evaluation of primary infertility and a suspected müllerian anomaly.

INTERVENTION(S): Clinical and surgical evaluation of the anomaly.

MAIN OUTCOME MEASURE(S): Description and treatment for a rare uterine anomaly and a subsequent literature search.

RESULT(S): Successful resection of vaginal septum and subsequent pregnancy.

CONCLUSION(S): This extremely rare anomaly is not explained by classic embryologic teachings, and it does not fit into the classification system currently used to describe müllerian anomalies.

摘要

目的

报告一种罕见的子宫异常情况,包括一个正常子宫、双宫颈和双阴道。

设计

病例报告。

地点

大学医院。

患者

一名28岁未孕患者,因原发性不孕及疑似苗勒管异常前来评估。

干预措施

对该异常情况进行临床和手术评估。

主要观察指标

对一种罕见子宫异常情况的描述与治疗,并进行后续文献检索。

结果

成功切除阴道纵隔并随后怀孕。

结论

这种极其罕见的异常情况无法用经典胚胎学理论解释,也不符合目前用于描述苗勒管异常的分类系统。

相似文献

1
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。
Fertil Steril. 2009 Mar;91(3):935.e1-3. doi: 10.1016/j.fertnstert.2008.09.042. Epub 2008 Nov 11.
2
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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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。
Fertil Steril. 2009 Jun;91(6):2369-75. doi: 10.1016/j.fertnstert.2008.01.079. Epub 2008 Mar 25.
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Double cervix and vagina with a normal uterus and blind cervical pouch: a rare müllerian anomaly.
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The diagnosis and reproductive outcome after surgical treatment of the complete septate uterus, duplicated cervix and vaginal septum.完全纵隔子宫、双宫颈及阴道纵隔手术治疗后的诊断及生殖结局
Am J Obstet Gynecol. 2004 Jun;190(6):1669-75; discussion 1675-8. doi: 10.1016/j.ajog.2004.02.046.
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Double vagina and cervix communicating bilaterally with a single uterine cavity: report of a case with an unusual congenital uterine malformation.双阴道、双宫颈且双侧与单一子宫腔相通:一例罕见先天性子宫畸形病例报告
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Perforated transverse vaginal septum: a rare case of müllerian duct anomaly presenting only primary infertility.穿孔性阴道横隔:一种仅表现为原发性不孕的罕见苗勒管异常病例。
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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.
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