通讯作者: 张铭, 1192964827@qq.com

DOI：10.12201/bmr.202504.00055

One case of unicornuate uterus with residual horn uterus and right kidney absence complicated with ovarian endometriotic cyst

• 摘要：单角子宫合并残角子宫是一种少见的先天性子宫畸形,同时合并卵巢子宫内膜异位囊肿、肾脏缺失的更为罕见。本文报告1例Ⅱ型单角子宫合并残角子宫的育龄期患者,同时发现同侧卵巢子宫内膜异位囊肿、同侧肾脏缺失,因痛经加重于我院行腹腔镜下右侧残角子宫切除术+右侧输卵管切除术+右侧卵巢囊肿剥除术+宫腔镜检查,术后为避免子宫内膜异位症复发予以地诺孕素口服。术后随访痛经症状完全缓解,无明显药物不良反应。本文综合文献和临床病例,针对该疾病的诊治策略及预后进行分析和总结。

  关键词： 子宫畸形; 子宫内膜异位症; 地诺孕素

   

  Abstract: Unicornuate uterus with residual horn uterus is a rare congenital uterine malformation, and it is even rarer to be combined with ovarian endometriosis cyst and kidney absence. This paper reports a child-bearing age patient with type Ⅱ unicornuate uterus with residual horn uterus, who was found to combined with ipsilateral ovarian endometriosis cyst and ipsilateral kidney absence at the same time. Due to the worsening of dysmenorrhea, the patient underwent laparoscopic right residual horn hysterectomy, right salpingectomy, right ovarian cyst removal and hysteroscopy in our hospital, and oral dienogest was given to avoid recurrence of endometriosis after operation. Dysmenorrhea symptoms were completely relieved after operation, and no obvious adverse drug reactions were observed. Based on the literature and clinical cases, this article analyzes and summarizes the diagnosis, treatment strategies and prognosis of the disease.

  Key words: Uterine malformation; endometriosis; dienogest.

  提交时间：2025-04-17

  版权声明：作者本人独立拥有该论文的版权，预印本系统仅拥有论文的永久保存权利。任何人未经允许不得重复使用。
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• 序号	提交日期	编号	操作
  1	2025-01-14	bmr.202504.00055V1	下载

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