先天性阴道闭锁8例临床分析

Clinical analysis of 8 cases with congenital atresia of vagina

目的探讨先天性阴道闭锁的临床特点及治疗。方法回顾分析湘西自治州人民医院近10年收治的8例先天性阴道闭锁合并有功能子宫的临床资料,包括临床表现、手术方式及预后。结果8例Ⅱ型先天性阴道闭锁,均采用保留子宫并阴道成形手术,其中3例合并先天性宫颈闭锁,阴道成形结合开腹手术。随访1～101个月,其中4例成功;2例反复3次出现阴道上段黏连闭锁行黏连分离术,1年后因子宫腺肌病、卵巢巧克力囊肿,痛经难忍行子宫切除术;2例因外省路途遥远失访。结论先天性阴道闭锁保留功能性子宫的手术是可行的,治疗虽较为困难,术后坚持带模具,可保留其生理与生殖功能。

[Objective] To analyze the clinical characteristics and treatment of congenital atresia of vagina. [Method] Retrospective analysed the clinical data of 8 cases with congenital atresia of vagina complicating uterine function, including clinical manifestation, modus operandi and prognosis. [Result] 8 cases of congenital atresia of vagina were adopted vagina plastic operation with reservation of uterus. 3 cases of the total merged congenital cervical atresia and were adopted vaginal plastic operation and slivered abdomen operation. All cases were followed up for 1 to 101 months. 4 cases patients were blest. 3 cases patients were adopted synechiolysis for 3 repeating conglutination and clausura of vagina superior segment, moreover they were adopted abdominal hysterectomy due to unbearable menorrhalgia of adenomyosis and chocolate cyst of ovary after one year. 2 cases were los4 who lived in other provinces. [Conclusion] It was feasible to perform the operation of congenital atresia of vagina reservating functionality uterine. Although they are difficult to treat ,they may retain the physiological and enerative function if they insist on taking tooting.