Robert子宫整形术一例并文献复习

doi:10.12280/gjfckx.20230388

国际妇产科学杂志 ›› 2023, Vol. 50 ›› Issue (6): 637-640.doi: 10.12280/gjfckx.20230388

• 普通妇科疾病及相关研究:病例报告 • 上一篇下一篇

Robert子宫整形术一例并文献复习

吴珍珍, 李娟, 马斌, 范美玲, 王芳, 刘青()

730050 兰州，甘肃省妇幼保健院（吴珍珍，李娟，马斌，范美玲，王芳，刘青）; 甘肃中医药大学第一临床医学院（吴珍珍，刘青）

收稿日期:2023-05-26 出版日期:2023-12-15 发布日期:2023-12-13
通讯作者: 刘青 E-mail:2305470816@qq.com
基金资助:
甘肃省卫生健康行业科研计划项目(GSWSKY2020-16);甘肃省自然科学基金(22JR5RA718)

Metroplastic Surgery of Robert′s Uterus: A Case Report and Literature Review

WU Zhen-zhen, LI Juan, MA Bin, FAN Mei-ling, WANG Fang, LIU Qing()

Gansu Provincial Maternity and Child-Care Hospital, Lanzhou 730050, China (WU Zhen-zhen, LI Juan, MA Bin, FAN Mei-ling, WANG Fang, LIU Qing); The First Clinical Medical College of Gansu University of Chinese Medicine, Lanzhou 730050, China (WU Zhen-zhen, LIU Qing)

Received:2023-05-26 Published:2023-12-15 Online:2023-12-13
Contact: LIU Qing E-mail:2305470816@qq.com

摘要/Abstract

摘要：

Robert子宫是一种罕见的子宫畸形，常表现为腹痛、痛经，不易与残角子宫、双角子宫鉴别。回顾分析1例合并肾缺如、肛门闭锁患者的诊疗经过。该患者术前通过三维超声成像、磁共振成像检查提供子宫内、外形态信息，有助于制定合理的手术方案，积极医患沟通，术中采用腹腔镜检查联合宫腔镜子宫斜隔电切术精准诊断、治疗，并采用经腹超声监测，术后通过屏障法预防复发。通过综合管理模式获得了诊断准确、子宫整形效果满意的结局。

关键词: Robert子宫, 先天畸形, 子宫整形术, 成像，三维, 宫腹腔镜手术

Abstract:

Robert′s uterus is a rare uterine malformation that often manifests as abdominal pain and dysmenorrhea, making it difficult to distinguish from residual horn uterus and bicorner uterus. This paper retrospectively analyzes the diagnosis and treatment process of a patient with renal deficiency and anal atresia. The patient underwent preoperative three-dimensional ultrasound imaging and magnetic resonance imaging to provide information on the internal and external morphology of the uterus, which helps to develop a reasonable surgical plan and actively communicate with doctors and patients. Laparoscopic examination combined with hysteroscopic oblique hysterectomy was used for precise diagnosis and treatment during the surgery, and transabdominal ultrasound monitoring was used. Postoperative prevention of recurrence was achieved through barrier method. Through comprehensive management mode, accurate diagnosis and satisfactory results of metroplastic surgery were achieved.

Key words: Robert′s uterus, Congenital abnormalities, Metroplasty, Imaging, three-dimensional, Hysteroscopy and laparoscopic surgery

吴珍珍, 李娟, 马斌, 范美玲, 王芳, 刘青. Robert子宫整形术一例并文献复习[J]. 国际妇产科学杂志, 2023, 50(6): 637-640.

WU Zhen-zhen, LI Juan, MA Bin, FAN Mei-ling, WANG Fang, LIU Qing. Metroplastic Surgery of Robert′s Uterus: A Case Report and Literature Review[J]. Journal of International Obstetrics and Gynecology, 2023, 50(6): 637-640.

图/表 8

图1 三维超声成像图注：黑色箭头所示为右侧盲腔，红色箭头所示为子宫斜隔。

图2 盆腔MRI横截面图注：箭头所示为右侧盲腔。

图3 腹腔镜术中所见注：黑色箭头所示为右侧宫角，红色箭头所示为子宫内膜异位病灶。

图4 宫腔镜见单角子宫

图5 宫腔镜针状电极电切子宫斜隔

图6 环状电切切除斜隔组织

图7 术后3个月复查可见宫腔膜性粘连

图8 宫腔粘连分离术后

参考文献 20

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Robert子宫整形术一例并文献复习

Metroplastic Surgery of Robert′s Uterus: A Case Report and Literature Review

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