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罗伯特氏子宫诊断与处理难点:系统回顾及病例报告。

Challenges in the diagnosis and management of Robert's uterus: Systematic review and case presentation.

机构信息

Department of Obstetrics and Gynaecology, University of Messina, Messina, Italy.

Department of Obstetrics and Gynaecology, ARNAS "Garibaldi" Hospital, Catania, Italy.

出版信息

J Clin Ultrasound. 2024 Jun;52(5):619-628. doi: 10.1002/jcu.23675. Epub 2024 Mar 28.

Abstract

Robert's uterus is a rare Müllerian duct anomaly (MDA) characterized by complete asymmetric septum dividing uterine cavity into two non-communicating parts. This study offers insights into diagnosing and management of this condition in a young patient, and a systematic literature review. The review included 19 studies from 2013 to 2023. 11.4% of women reported a history of miscarriage and 5.7% primary infertility. Dysmenorrhea was the most frequent symptom (54.3%), and 14.3% of patients had a coexisting endometriosis. The surgical interventions most commonly combine laparoscopic and hysteroscopic techniques. Robert's uterus requires heightened clinical awareness for early diagnosis, particularly in young women.

摘要

罗伯特氏子宫是一种罕见的苗勒管畸形(MDA),其特征是完全不对称的隔将子宫腔分为两个不连通的部分。本研究为年轻患者的诊断和治疗提供了深入了解,并进行了系统的文献回顾。该综述包括 2013 年至 2023 年的 19 项研究。11.4%的女性报告有流产史,5.7%原发性不孕。痛经是最常见的症状(54.3%),14.3%的患者同时患有子宫内膜异位症。手术干预最常结合腹腔镜和宫腔镜技术。罗伯特氏子宫需要提高临床意识,以便早期诊断,特别是在年轻女性中。

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