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经阴道超声引导下清宫术治疗稽留流产合并子宫畸形 1 例报告

Minimally invasive surgical treatment of Robert's uterus with missed miscarriage: case report.

机构信息

Department of Gynaecology, The Second People's Hospital of Guiyang, Guiyang, China.

出版信息

J Obstet Gynaecol. 2024 Dec;44(1):2305204. doi: 10.1080/01443615.2024.2305204. Epub 2024 Jan 21.

Abstract

Robert's uterus was firstly reported in 1970, it's a rare Müllerian duct anomaly with 2 intra-uterine cavities divided by asymmetrical septum. One of the cavities is completely obstructed to cervix by septum and menstruation fluid retents in this blind cavity, periodical pelvic pain during menstruation can lead attendance to hospital. We report a gravida of Robert's uterus with missed abortion in the blind cavity, who had mild dysmenorrhoea since adolescent age, diagnosed and treated by minimally invasive surgical methods. To our knowledge, it's a previously unreported case which gynaecologists terminated pregnancy in blind cavity of Robert's uterus without resecting the septum while dysmenorrhoea relieved entirely and postoperative volume of menstruation stayed the same as preoperative.

摘要

罗伯特氏子宫于 1970 年首次报道,是一种罕见的苗勒管畸形,有两个宫腔,被不对称的纵隔隔开。纵隔将其中一个宫腔完全阻塞到宫颈,月经血潴留于这个盲腔,月经期间会出现周期性盆腔痛,导致患者就诊。我们报告一例罗伯特氏子宫妊娠,宫腔内有稽留流产,该患者青春期以来有轻度痛经,采用微创方法进行诊断和治疗。据我们所知,这是一例以前未报道的病例,妇产科医生在不切除纵隔的情况下终止了罗伯特氏子宫盲腔内的妊娠,痛经完全缓解,术后月经量与术前相同。

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