Christiansen Mary E, Detti Laura
Department of Obstetrics and Gynecology, Division of Reproductive Endocrinology and Infertility, University of Tennessee Health Science Center, Memphis, Tennessee.
Clin Obstet Gynecol. 2017 Mar;60(1):18-26. doi: 10.1097/GRF.0000000000000258.
Müllerian anomalies are defined as congenital uterine malformations that arise from improperly developing Müllerian ducts. These malformations have a variety of presentations ranging from asymptomatic to amenorrhea, dyspareunia, dysmenorrhea, chronic pelvic pain, pregnancy loss, fetal malpresentation, placental abruption, and intrauterine growth restriction. In this review, we discuss the clinical implications, diagnosis, and treatment of the various Müllerian anomalies focusing on the ones for which clinical intervention is amenable to improve pregnancy outcomes.
苗勒管异常被定义为由发育异常的苗勒管引起的先天性子宫畸形。这些畸形有多种表现,从无症状到闭经、性交困难、痛经、慢性盆腔疼痛、流产、胎位异常、胎盘早剥和宫内生长受限。在本综述中,我们讨论了各种苗勒管异常的临床意义、诊断和治疗,重点关注那些适合进行临床干预以改善妊娠结局的异常情况。