腹腔镜联合宫腔镜治疗合并子宫腺肌病的残角子宫：一例报告
Laparoscopy combined with hysteroscopy in the treatment of Robert's uterus accompanied by adenomyosis: A case report.
作者信息
Dong Jie, Wang Jia-Jian, Fei Jing-Ying, Wu Li-Fang, Chen Ying-Ying
机构信息
Department of Gynecology, Huzhou Maternity & Child Health Care Hospital, Huzhou 313000, Zhejiang Province, China.
Department of Ultrasound, Huzhou Maternity & Child Health Care Hospital, Huzhou 313000, Zhejiang Province, China.
出版信息
World J Clin Cases. 2024 Sep 6;12(25):5769-5774. doi: 10.12998/wjcc.v12.i25.5769.
BACKGROUND
Gynaecologists should be aware of a rare obstructive Mullerian duct abnormality like Robert's uterus and perform further surgery when necessary.
CASE SUMMARY
We report a 41-year-old mother of two children with Robert's uterus who was examined and treated by laparoscopy and hysteroscopy. Unlike the existing cases reported in the literature, this patient had a late onset of Robert's uterus symptoms. Due to right tubal ectopic pregnancy 3 years previously, the patient was treated with right salpingectomy and left tubal ligation but suffered aggravated left lower abdominal pain. She was examined and treated by laparoscopy and hysteroscopy, and is completely asymptomatic at 5-year follow-up.
CONCLUSION
The typical obstructive Mullerian abnormality requires further surgery. Combined laparoscopy and hysteroscopy is an effective, minimally invasive technique with better recovery outcomes than traditional transabdominal procedures.
背景
妇科医生应了解像罗伯特子宫这样罕见的梗阻性苗勒管异常情况，并在必要时进行进一步手术。
病例摘要
我们报告了一位育有两个孩子的41岁母亲，患有罗伯特子宫，接受了腹腔镜检查和宫腔镜检查及治疗。与文献中报道的现有病例不同，该患者罗伯特子宫症状出现较晚。3年前因右侧输卵管异位妊娠，患者接受了右侧输卵管切除术和左侧输卵管结扎术，但左下腹部疼痛加剧。她接受了腹腔镜检查和宫腔镜检查及治疗，在5年随访时完全无症状。
结论
典型的梗阻性苗勒管异常需要进一步手术。腹腔镜和宫腔镜联合是一种有效的微创技术，与传统经腹手术相比，恢复效果更好。
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