摘要
本文报道了42例阴道发育异常。其中无阴道4例(9.5%)、部分闭锁8例(19.0%)、横隔10例(23.8%)、纵隔17例(40.5%)、斜隔3例(7.1%)。无阴道均合并无子宫或子宫发育不良。纵隔和斜隔均合并双角、纵隔或双子宫畸形。阴道部分闭锁、无孔横隔和斜隔的临床特点是原发性闭经和在青春期后出现的周期性下腹疼痛及梗阻段上方由经血潴留形成的包块。B超检查有助于诊断。在隔膜切除或人工分离后应缝合粘膜并应用阴道模型,防止切口狭窄及粘连。1例阴道部分闭锁、宫体正常、宫颈闭锁者经腹阴联合手术,切开闭锁宫颈,将硅胶管置入宫腔并在阴道内放置模型,获得成功。术后7年妊娠。
A report was made on 42 cases with developmental anomalies of vagina, among which 4 cases were congenital absence of vagina, 8 cases with partial atresia of vagina, 10 cases with transverse septum, 17 cases with longitudinal septum and 3 cases with oblique septum. All cases who suffered from congenital absence of vagina were complicated with congenital absence of uterus or uterine maldevelopment and those with longitudinal or oblique septum of vagina were complicated with bicornuate uterus,uterine septum or duplicated uterus. The cllnical characteristics of congenital absence of vagina, complete thansverse of oblique septum of the vagina were primary amenorrhea,cyclic lower abdominal pain and pelvic or abdominal mass after adolescence due to the hematocolpos.Ultrasonic examination was helpful to the diagnosis.After vaginal plastic operation, vaginal models were applied to avoid cicatricial adhesion and strictured formation. In one case with normal uterine corpus,complete cervical atresia and partial vaginal atresia, a channel was created between the normal uterine corpus and the artificial vagina with an indwelling silicious latex tube. The result was satisfactory and the patient was pregnant 7 years later.
出处
《中国实用妇科与产科杂志》
CAS
CSCD
1994年第1期19-21,共3页
Chinese Journal of Practical Gynecology and Obstetrics
关键词
阴道发育异常
阴道闭锁
阴道隔膜
Developmental anomaly of vagina Vaginal atresia Vaginal septum
