Rossier Marie-Claude, Bays Virginie, Vial Yvan, Achtari Chahin
Service de gynécologie et obstétrique CHUV, 1011 Lausanne.
Rev Med Suisse. 2008 Oct 22;4(176):2253-4, 2256-8, 2260 passim.
The müllerian anomalies or congenital uterine anomalies are relatively frequent if we keep in mind that 3-4% of our female patients present with a müllerian anomaly, although many among them are asymptomatic. It is important to evoke this diagnosis for all patients with a history of recurrent miscarriage, late abortion and premature delivery, for the adolescent consulting for primary amenorrhea, dysmenorrhea or dyspareunia as well as for the woman consulting for infertility. We will review pathogenesis, diagnostic methods, standard classification with a description of the different types of congenital uterine anomalies and the recommended management.
苗勒管异常或先天性子宫异常相对较为常见,因为我们要记住,3%至4%的女性患者存在苗勒管异常,尽管其中许多人没有症状。对于所有有复发性流产、晚期流产和早产病史的患者、因原发性闭经、痛经或性交困难前来咨询的青少年以及因不孕前来咨询的女性,考虑这一诊断很重要。我们将回顾其发病机制、诊断方法、标准分类,描述不同类型的先天性子宫异常以及推荐的治疗方法。