干旱区生态环境知识资源中心(Arid): 阴道闭锁16例临床分析

Arid

	阴道闭锁16例临床分析
其他题名	Congenitalvaginal atresia: report of 16 cases
	冷金花; 郎景和; 连利娟; 黄荣丽; 刘珠凤; 孙大为; 朱兰
来源期刊	中华妇产科杂志
ISSN	0529-567X
出版年	2002
卷号	37 期号:4 页码:217-219
中文摘要	目的：分析阴道闭锁的临床特点，探讨其分型在诊断与治疗中的意义。方法：回顾分析我院近16年收治的16例阴道闭锁患者的临床资料。阴道闭锁按解剖学特点分为两型：I型指阴道下段闭锁，10例；II型指阴道完全闭锁，6例。结果：I、II型阴道闭锁平均发病年龄分别为（13．01．1）岁及（15．53．4）岁，盆腔包块直径分别为（7．73．0）cm及（5．31．0）cm，两者比较，差异有极显著性（P＜0．01）；平均病程分别为（3．52．4个月）及24．0个月（中位数）。I期阴道闭锁者盆腔包块位置较低,而II型阴道闭锁者盆腔包块较高或位于盆腔一侧。I型阴道闭锁者．均行切开术，术后置阴道模型，随诊1－168个月，中位数为21．0个月，月经均正常，其中4例出现阴道狭窄行阴道扩张术。已婚的2例中，1例足月妊娠剖宫分娩。II型阴道闭锁合并子宫内膜异位症（内异症）、输卵管积血、双子宫者各1例，合并双子宫及内异症者1例；3例行子宫切除术，3例行保守性手术即阴道成形、宫颈成形及阴道子宫接通术，仅1例术后有月经但伴痛经，于术后6年因内异症手术治疗。结论：I型阴道闭锁手术效果好；II型阴道闭锁多合并内异症或子宫畸形，保守性手术治疗效果较差。
英文摘要	Objective To analyze the clinical features of congenital vaginal atresia (CVA) with nonnal uterine corpus and investigate the relationship between the subtypes and management. Methods Sixteen oases, partical atresia (type I) 10 and complete atresia (type II) 6, treated in Peking Union Medical College Hospital, during the past 16 years, were analysed retrospectively. Results Patients with type I CVA had an earlier onset of symptoms [(l3.0 1.1) years of age], duration of [(3.5 2.4) months], greater pelvic masses [(7.7 3.0) cm in diameter] with lower location as compared with type II CVA [(15.5 3,4) years of age, 24.0 months, (5.3 1.0) cm in diameter, P < 0.01]. Distal colpoplasty was performed on 10 type I cases and vaginal mold was placed postoperatively. Dysmenorrhea relieved in all cases during median 21 month follow-up. Vaginal dilatation was done in 4 cases due to readhesion and constriction. One out of the 2 married patients delivered viable neonate by cesarean section. Three out of 6 type II patients were complicated with either endometriosis or hematosalpinx or double uterus.Hysterectomy with or without colpoplasty was done. While the other 3 underwent colpoplasty and cervical canalization, Only 2 had menses after operation, but 1 of the developed dysmenorrhea, ovarian endometrioma and was treated surgically again, the other 1 had hypomenorrhea. Conclusion Patients with type I CVA had better outcomes after colpoplasty if they persist on placing vaginal mold. While for type II CVA, hysterectomy usually needed in most cases.
中文关键词	阴道闭锁 ; 妇科外科手术 ; 临床分析 ; 治疗
英文关键词	gynatresia gynecologic surgical procedures retrospective studies
语种	中文
国家	中国
收录类别	CSCD
WOS类目	OBSTETRICS GYNECOLOGY
WOS研究方向	Obstetrics & Gynecology
CSCD记录号	CSCD:1104082
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/203730
作者单位	中国医学科学院中国协和医科大学北京协和医院妇产科, 100730
推荐引用方式 GB/T 7714	冷金花,郎景和,连利娟,等. 阴道闭锁16例临床分析[J],2002,37(4):217-219.
APA	冷金花.,郎景和.,连利娟.,黄荣丽.,刘珠凤.,...&朱兰.(2002).阴道闭锁16例临床分析.中华妇产科杂志,37(4),217-219.
MLA	冷金花,et al."阴道闭锁16例临床分析".中华妇产科杂志 37.4(2002):217-219.