附带腔性子宫形 (ACUM):一个范围审查
Stefan Timmerman1,2, Lauren Stubbe1, Thierry Van den Bosch1,2
1Department of Development and Regeneration, KU Leuven, Leuven, Belgium.
Acta obstetricia et gynecologica Scandinavica
|February 12, 2024
概括
附带腔性子宫形 (ACUM) 是一种罕见的子宫异常. 本综述定义了ACUM,并强调需要标准化诊断和管理,以改善患者的治疗结果.
科学领域:
- 生殖医学 生殖医学
- 妇科病理学 妇科病理学
- 医疗成像医学成像
背景情况:
- 附带腔性子宫形 (ACUM) 是一种罕见的子宫异常,此前曾用各种术语描述过.
- ACUM涉及一个非通讯的,辅助子宫腔在肌子宫内.
- 了解ACUM的特征对于准确的诊断和管理至关重要.
研究的目的:
- 系统地审查和定义现有文献中的辅助性空腔性子宫形 (ACUM).
- 确定ACUM的形态,流行病学和临床特征.
- 分析当前的管理策略,并突出ACUM的知识差距.
主要方法:
- 在三个数据库中对囊性肌肉膜病变进行系统的文献搜索.
- 包含符合共同ACUM定义的案例.
- 临床和成像特征的文档,遵守PRISMA指南.
主要成果:
- 在53篇文章中发现了115例ACUM病例.
- 症状发病时的中位年龄为17岁,经过月经期后的经期障碍.
- 描述了超声波和MRI发现;83%通过手术管理,趋向于非手术选择.
结论:
- 由于与其他肌肉质质相似,ACUM往往被诊断不足.
- 根据审查结果,建议基于ACUM的统一术语和定义.
- 需要进一步的前性研究来调查ACUM管理和长期结果,包括生育和怀孕.
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