国际妇产科学杂志

国际妇产科学杂志 ›› 2025, Vol. 52 ›› Issue (6): 634-637.doi: 10.12280/gjfckx.20251019

• 普通妇科疾病及相关研究:病例报告 • 上一篇    下一篇

残角子宫畸形合并同侧肾缺如一例

马跃, 刘倩倩, 吴雪丽, 李红丽, 刘畅()   

  1. 730000 兰州大学第一临床医学院（马跃，刘倩倩，吴雪丽）；兰州大学第一医院妇产科，甘肃省妇科肿瘤临床医学研究中心（李红丽，刘畅）
  • 收稿日期:2025-09-08 出版日期:2025-12-15 发布日期:2025-12-30
  • 通讯作者: 刘畅 E-mail:lch@lzu.edu.cn

A Case of Rudimentary Uterine Horn Malformation with Ipsilateral Renal Agenesis

MA Yue, LIU Qian-qian, WU Xue-li, LI Hong-li, LIU Chang()   

  1. The First Clinical Medical College of Lanzhou University, Lanzhou 730000, China (MA Yue, LIU Qian-qian, WU Xue-li); Department of Obstetrics and Gynecology, The First Hospital of Lanzhou University, Gansu Province Clinical Research Center for Gynecological Oncology, Lanzhou 730000, China (LI Hong-li, LIU Chang)
  • Received:2025-09-08 Published:2025-12-15 Online:2025-12-30
  • Contact: LIU Chang E-mail:lch@lzu.edu.cn

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摘要：

单角子宫作为米勒管发育异常的重要类型之一，是指仅有一侧米勒管正常发育而形成的子宫畸形。流行病学数据显示，该畸形占子宫畸形的 0.3%~4.0%，其中约35%的病例会合并残角子宫及同侧肾缺如。报告1例左侧非交通型有腔残角子宫合并同侧肾缺如青少年患者，临床表现为痛经并进行性加重，经盆腔磁共振成像检查确诊，排除手术相关禁忌证后行经脐单孔腹腔镜下残角子宫切除术+左侧输卵管切除术+盆腔子宫内膜异位病灶切除术+盆腔粘连松解术+脐整形术，术后病理证实残角子宫内膜呈分泌期改变，患者痛经症状缓解。提示早期诊断和规范化的手术治疗对改善患者生活质量具有重要意义。

关键词: 先天畸形, 子宫, 肾, 青少年, 腹腔镜检查, 残角子宫

Abstract:

Unicornuate uterus is one of the important types of Müllerian duct developmental abnormalities, referring to a uterine malformation formed by the normal development of only one Müllerian duct. Epidemiological data indicate that the incidence of this malformation in the uterine malformation is 0.3%-4.0%, and about 35% of cases are complicated by a rudimentary uterine horn and ipsilateral renal agenesis. A case of a teenage patient with a non-communicating left rudimentary uterine horn with a cavity and ipsilateral renal agenesis is reported. The clinical manifestation was progressive exacerbation of dysmenorrhea. The diagnosis was confirmed by pelvic magnetic resonance imaging. After excluding surgical contraindications, single-port trans-umbilical laparoscopic resection of the rudimentary uterine horn, left salpingectomy, resection of pelvic endometriotic lesions, pelvic adhesion lysis, and umbilical plastic surgery were performed. Postoperative pathological examination confirmed that the endometrium of the rudimentary uterine horn was in the secretory phase, and the patient′s dysmenorrhea symptoms were relieved. This indicates that early diagnosis and standardized surgical management are of great significance for improving patients′ quality of life.

Key words: Congenital abnormalities, Uterus, Kidney, Adolescent, Laparoscopy, Rudimentary uterine horn