PDF(Pubmed)
Abstract：
Nabothian cysts (NCs) are benign cervical mucous retention cysts, which are usually considered insignificant. A 45 years para 2, presented with lower abdominal heaviness, abnormal uterine bleeding and severe dysmenorrhea for 1 year. On examination, only a part of the anterior cervical lip was visible, and a tense bulging cyst was replacing the posterior lip. The cyst extended supravaginally and filled the posterior fornix. Magnetic resonance imaging suggested a 15 cm × 10 cm huge NC. Laparoscopic hysterectomy was done. There were difficulties in bladder dissection, ureteric identification, and vault delineation. The cyst contained 800 ml of clear fluid with a few milliliters of yellowish mucinous fluid. To our knowledge, NC of this size has not been reported in the literature. NCs are benign lesions, but they have to be differentiated from other cervical cysts - particularly malignant or premalignant lesions. NC can very well be managed laparoscopically, provided the skills of precise dissection are possessed by the surgeon.
摘要：
Nabothian囊肿（NC）是良性宫颈粘液滞留囊肿，通常被认为是微不足道的。45岁的第2段，表现为下腹部沉重，异常子宫出血和严重痛经1年。在检查中，只有一部分颈前唇是可见的，一个紧张的膨出的囊肿取代了后唇。囊肿经阴道上扩张，充满后穹窿。磁共振成像提示15cm×10cm巨大的NC。行腹腔镜子宫切除术。膀胱解剖有困难，输尿管鉴定，和拱顶轮廓。囊肿含有800毫升透明液体和几毫升淡黄色粘液液。据我们所知,这种大小的NC在文献中没有报道。NCs是良性病变,但它们必须与其他宫颈囊肿区分开来-特别是恶性或癌前病变。NC可以很好地通过腹腔镜进行管理，只要外科医生具备精确解剖的技能。
