巨大宫颈纳氏腺囊肿一例

Large Uterine Cervical Nabothian Cyst:A Case Report and Literature Review

宫颈纳氏腺囊肿为妇科常见的良性疾病,多为分娩、炎症、人工流产等因素对宫颈的损伤所致。此病为直径在数毫米至4厘米的较小的宫颈囊肿,可为单发或多发,患者多无自觉症状,较大者罕见,性生活可有不适。临床对于宫颈巨大纳氏腺囊肿的术前识别至关重要,与宫颈恶性疾病相鉴别可避免扩大手术范围,提高患者的术后生存质量。巨大宫颈纳氏腺囊肿与阴道苗勒管囊肿、宫颈恶性腺瘤术前易混淆,超声检查不具有绝对性诊断价值。巨大宫颈纳氏腺囊肿病因不清,报告1例合并完全性纵隔子宫且妊娠至足月分娩病例,巨大宫颈纳氏腺囊肿的发生与子宫先天性畸形之间是否有关仍有待研究。

Uterine cervical Naboth cyst is a common benign disease of gynecology,and it is caused by the damage to the cervix like childbirth,inflammation and artificial abortion.The diameter of the small cervical cysts varies from a few millimeters to 4 centimeters,which can be single or multiple.Most patients do not have self-conscious symptoms.Big cysts are rare and patients may have discomforts during sexual intercourses.Clinically preoperative identification of the large uterine cervical Nabothian cysts is very important.Differentiation from cervical malignant disease can help avoid expanding the scope of surgery and improve the postoperative qualities of lifes of patients.Large Naboth cysts are easily confused with mullerian duct cysts and cervical malignant adenomas before operation.Ultrasound examination has no absolute diagnostic value.The etiology of large cervical Naboth cysts is unclear.A case of pregnancy to term delivery with complete mediastinal uterus is reported.Whether there is a relationship between the incidence of large uterine Naboth cysts and uterine congenital malformations remains to be studied.