先天性双子宫合并子宫内膜异位性疾病1例并文献复习

Congenital double uterus complicated with endometriosis disease:a case report and literature review

子宫发育异常,即先天性子宫畸形(CUA),是女性生殖系统在胚胎6~20周双侧副中肾管发育、融合和/或吸收异常所导致的先天性子宫形态和功能异常,大多数患者的症状是不孕、反复流产、早产或胎位异常等。子宫内膜异位性疾病(ED)包括子宫内膜异位症(EMT)和子宫腺肌病(AM),常合并存在。当子宫内膜腺体和间质出现在子宫体以外的部位时,称为EMT。当子宫内膜腺体和间质侵入肌层时,称为AM。双子宫合并ED临床不多见,可出现月经异常、痛经、不孕等,本文回顾分析1例先天性双子宫畸形合并ED,并查阅相关文献进行分析总结,探讨双子宫畸形及ED常见的相关临床问题。

Abnormal uterine development,namely congenital uterine anomaly(CUA),is a congenital abnormality of uterine morphology and function caused by the abnormal development,fusion and/or absorption of bilateral Mül lerian duct in female reproductive system during 6-20 weeks of embryo.Most patients have symptoms such as infertility,repeated abortion,premature delivery or abnormal fetal position.Endometriosis disease(ED)includes endometriosis(EMT)and adenomyosis(AM),which often coexist.When endometrial glands and stroma appear outside the uterine body,it is called EMT.When endometrial glands and stroma invade the muscle layer,it is called AM.Double uterus complicated with ED is rare in clinic,which can cause menstrual abnormalities,dysmenorrhea,infertility,etc.A case of congenital double uterine malformation complicated with ED is reviewed and analyzed in this paper,and the relevant literatures are searched to analyze and summarize the common clinical problems related to uterus didelphys and ED.