뮐러관 기형의 진단과 치료
DIAGNOSIS AND CURRENT TREATMENT OF MÜLLERIAN DUCT ANOMALY
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초록
뮐러관 기형은 산과적 합병증 및 요로기계통 동반 기형을 일으킬 수 있으나, 많은 수의 환자들이 진단되지 않은 채 지내는 경우가 많다. 진단이 정확히 이루어지고 이에 맞는 수술적 치료를 할 경우, 특히 중격기형에서 산과적 예후를 향상시킬 수 있어 뮐러관 기형에서 정확한 진단과 치료는 필수적이다. 최근에는 초음파와 자궁난관조영술 이외에도 자기공명영상과 3D 초음파가 진단에 획기적인 역할을 하고있다. 본 종설은 이러한 뮐러관 기형의 발생, 진단, 분류와 치료에 대해 포괄적으로 논하고자 한다.
Abstract
This is a comprehensive overview that comprises embryology, diagnosis, classifi cation and treatment of Müllerian duct anomaly. Despite its ill effect on obstetric outcomes, a large number of patients remain undetected. Recently the roles of magnetic resonance imaging and 3D ultrasound in diagnosis are highlighted in addition to conventional ultrasound and hysterosalpingography, etc. Corrective surgery, especially for septate uterus, is proven to have dramatic effects on obstetric prognosis, therefore accurate diagnosis and proper management cannot be overemphasized in Müllerian duct anomaly.
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