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[单角子宫合并空洞性非交通性残角子宫:磁共振成像特征]

[Unicornuate uterus with cavitary non-communicating rudimentary horn: magnetic resonance characterization].

作者信息

Chamorro-Oscullo Jenny Del Rocío, Sánchez-Cortázar Julián Antonio, Gómez-Pérez María de Guadalupe

机构信息

Curso de Alta Especialidad en Resonancia Magnética de Cuerpo Completo, Hospital Ángeles del Pedregal, Ciudad de México, México

Dirección Médica, Aceleración Nuclear y Resonancia Magnética (ANREM), Hospital Ángeles del Pedregal, Ciudad de México, México.

出版信息

Rev Med Inst Mex Seguro Soc. 2018 Jan-Feb;56(1):92-97.

Abstract

Mullerian duct or paramesonephric anomalies are a group of congenital malformations of the female genital tract that result from the alteration in one or more stages of embryonic development. The prevalence has increased, probably due to the progress of diagnostic imaging methods and the relevance that it has acquired in young women with infertility problems. Magnetic resonance imaging (MRI) is currently the method of choice for characterizing the different types of Mullerian anomalies, its complications and associated pathology. Unicornuate uterus correspond to class II of classification of Mullerian duct anomalies developed by the American Society for Reproductive Medicine. According to this, four subtypes have been identified, each with different clinical implications. A cavitated, non-communicating rudimentary horn in a unicornuate uterus is associated with an increased incidence of gynecological problems and obstetric complications that sometimes threaten the lives of patients, reason why its suspicion, diagnosis and treatment is necessary. We report the case of a patient with infertility in which this subtype of congenital malformation was discovered.

摘要

苗勒管或副中肾管异常是一组女性生殖道先天性畸形,由胚胎发育一个或多个阶段的改变引起。其患病率有所上升,这可能归因于诊断成像方法的进步以及它在患有不孕问题的年轻女性中所具有的相关性。磁共振成像(MRI)目前是用于描述不同类型苗勒管异常、其并发症及相关病理特征的首选方法。单角子宫属于美国生殖医学学会制定的苗勒管异常分类中的II类。据此,已识别出四种亚型,每种亚型具有不同的临床意义。单角子宫中一个有腔、不与主宫腔相通的残角与妇科问题和产科并发症的发生率增加相关,这些并发症有时会威胁患者生命,因此对其进行怀疑、诊断和治疗很有必要。我们报告了一例不孕症患者,在该患者中发现了这种先天性畸形亚型。

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