宫、腹腔镜联合诊治阴道斜隔综合征23例临床分析

Study on Combination of Hysteroscopy and Laparoscopy in Diagnosis and Treatment of Herlyn-Werner-Wunderlich Syndrome:Report of 23 Cases

目的探讨宫、腹腔镜联合诊治阴道斜隔综合征(Herlyn-Werner-Wunderlich syndrome,HWWS)的疗效。方法回顾性分析2009年1月~2015年12月宫、腹腔镜联合诊治23例HWWS的资料,合并不同程度痛经17例,阴道异常分泌物17例,不孕4例,随访治疗效果及妊娠结局。结果 23例随访3~36个月,平均24个月,术后阴道不规则流血及异常分泌物均消失,痛经较前减轻,4例有生育要求者均生育(术后1~2年)。结论宫、腹腔镜联合手术可充分明确生殖器官畸形情况并彻底解决下生殖道梗阻。

Objective To explore the efficacy of hysteroscopy combined with laparoscopy in the diagnosis and treatment of Herlyn-Werner-Wunderlich syndrome （HWWS）. Methods The clinical data of 23 patients with HWWS from January 2009 to December 2015 treated with combination of laparoscopy and hysteroscopy were retrospectively analyzed. The patients had different degrees of dysmenorrhea （ 17 cases） , abnormal vaginal discharge （ 17 cases） , and infertility （4 cases） before surgery. During follow-up, we observed the symptom and pregnancy outcomes after surgery. Results The patients were followed up for 3 - 36 months （average, 24 months）. The vaginal irregular bleeding and abnormal secretions disappeared in 17 patients; dysmenorrhea relieved partly in 17 cases; 4 patients who had fertility requirements gave birth to babies. Conclusion Combination of hysteroscopy and laparoscopy sufficiently clears genital malformation of HWWS and solves the lower genital tract obstruction.