腹腔镜检查用于 Mayer-Rokitansky-Kuster-Hauser 综合征盆腔疼痛：一例报告
Laparoscopy for pelvic pain in the Mayer-Rokitansky-Kuster-Hauser syndrome. A case report.
作者信息
Giatras K, Licciardi F, Grifo J A
机构信息
Department of Obstetrics and Gynecology, New York University Medical Center, NY 10016, USA.
出版信息
J Reprod Med. 1998 Mar;43(3):203-5.
BACKGROUND
The Mayer-Rokitansky-Kuster-Hauser (MRKH) syndrome occurs in 1 of every 4,000-5,000 female births. It is characterized by normal external genitalia, an absent vagina, absent or rudimentary uterus, and normal fallopian tubes and ovaries. When associated with a rudimentary uterine horn, cyclic catamenial pelvic pain may result. The standard procedure for pain relief has been removal of the uterine horn by laparotomy.
CASE
A rudimentary uterine horn was diagnosed in a woman with MRKH syndrome who developed monthly severe pelvic pain. Removal of the structure was performed via laparoscopy. The patient had complete resolution of her pain.
CONCLUSION
As an alternative to laparotomy, laparoscopic resection of a rudimentary horn in patients with MRKH syndrome is both feasible and beneficial in the treatment of pelvic pain.
背景
梅耶-罗基坦斯基-库斯特-豪泽（MRKH）综合征在每4000 - 5000例女性出生中出现1例。其特征为外阴正常、阴道缺如、子宫缺如或发育不全，以及输卵管和卵巢正常。当与残角子宫相关时，可能会导致周期性月经性盆腔疼痛。缓解疼痛的标准手术方法是通过剖腹手术切除子宫角。
病例
一名患有MRKH综合征的女性被诊断出有残角子宫，且每月都会出现严重的盆腔疼痛。通过腹腔镜手术切除了该结构。患者的疼痛完全缓解。
结论
作为剖腹手术的替代方法，腹腔镜切除MRKH综合征患者的残角子宫在治疗盆腔疼痛方面既可行又有益。
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