阴道斜隔综合征的诊断与处理

Diagnosis and treatment of oblique vaginal septum syndrome

目的 探讨阴道斜隔综合征的诊断及治疗。方法 回顾性分析我院 1991～ 2 0 0 1年间诊断的阴道斜隔综合征 2 0例临床资料并复习相关文献。结果 2 0例患者中 ,Ⅰ型 6例 ,均未婚 ,年龄 14～ 16岁 ,痛经、阴道壁肿块占 10 0 % (6 / 6 ) ,肿块直径 10～ 15cm ;Ⅱ型患者 13例 ,已婚 11例 ,年龄 15～ 33岁 ,阴道流液、流脓及经期延长为主要临床表现 ,占 6 9% (9/ 13) ,阴道壁肿块占 6 2 % (8/ 13) ,直径 3～ 10cm ;Ⅲ型 1例 ,临床表现与Ⅱ型类似。阴道斜隔综合征左侧 8例 ,右侧 12例。 19例双子宫、双宫颈 ,1例为完全中隔子宫。 2 0例全部伴斜隔侧肾脏缺如。 2 0例行阴道斜隔切除术 ,其中 4例行同侧子宫切除。随访 16例。结论 阴道斜隔综合征临床上并非罕见 ;病史、临床表现及B超检查对诊断有重要意义 ;

Objective To explore the diagnosis and the treatment of oblique vaginal septum syndrome.Methods Twenty cases with syndrome of oblique vaginal septum were retrospectively analyzed in Anhui Province Hospital between 1991 to 2001,and related literature were reviewed.Results In the 20 patients,6 patients were type Ⅰ(all were adolescent),from 14 to 16 years old.They all had dysmenorrhea and the vagin wall lump(6/6);13 patients were type Ⅱ,among them 11 cases married,from 15 to 33 years old,main clinical signs were that the vagina flowed liquid and purulence and the menstruation prolonged;1 patient was type Ⅲ,the clinical signs was similar to that of type Ⅱ.In all 20 patients,8 cases of oblique vaginal septum were at left side,12 cases at right.19 cases had uterus duplex,cervix duplex.All 20 patients with the same side kidney absence were treated by excision of vaginal setpum.Among them,4 patients were treated by the same side hysterectomy.16 patients were visited.Conclusion Syndrome of oblique vaginal septum is not very rare in clinical practice.History,signs,examinations and B ultrasonic examination have importment value to diagnosis.The main treatment is excision of vaginal septum.