宫腔镜联合腹腔镜诊治阴道斜隔综合征临床研究

The Clinical Research of the Diagnosis and Therapy of Oblique Vaginal Septum Syndrome with Hysteroscopy Combination Laparoscopy

目的:探讨宫腔镜联合腹腔镜诊断治疗阴道斜隔综合征的作用及优点。方法:对2000～2006年我院收治的5例阴道斜隔综合征患者进行回顾性分析。结果:(1)术前诊断符合率100%;(2)术前均用腔镜完成,效果好,无边缘粘连,无术后复发;(3)其中1例术后结婚,并成功受孕、分娩。结果:(1)阴道斜隔综合临床表现复杂,无特异性,易误诊,术前B超及宫腔镜检查能准确诊治本病;(2)宫腹腔镜治疗本病具备创伤小、预后佳、手术时间短,且能明确位置达到切除斜隔最佳效果,同时了解盆腔其它病变并给予治疗;(3)它是一种非常安全、有效、理想的治疗方法;(4)正确认识本病,避免误诊误治,以免对青春期女性造成严重结果,甚至影响终身。

Objective： To study the advantages of hysteroscopy in combination with laparoseopy in the diagnosis and therapy of oblique vaginal septum syndrome.Method：The clinical data of 5 cases diagnosed as oblique vaginal septum syndrome dunng 2000 and 2006 in our hospital were analyses retrospective.Results：All case were diagnosed correctly before operation and all of them were operated laparoscopy and hysteroscopy. No edge adhesions and relapse occyrred.One of them were pregnant and delivery a child after marriage.Conelusion （1）Oblique vaginal septum syndrome has variety ctinical manifestations no special characteristics and is often misdiagnosed.But it can be diagnosed con-ectively through B-ultrasound and hysteroscopy.（2）The combination of hysteroscopy and laparoseopy is a safe and effective method in the diagnosis and therapy of oblique vaginal septum syndrome.We should recognize the syndrome correctively to avoid misdiagnosis and serous outcome during adolescence.