宫腹腔镜联合诊治先天性阴道斜隔(附11例临床报告)  

Combination of hysteroscopy and laparoscopy to treat the congenital oblique vaginal septum (a report of 11 cases)

作　　者：王玲[1] 陈京力[1] 冯淑英[1] 苏纳[1] 梁玉萍[1] 

机构地区：[1]中山大学附属第二医院妇产科,广东广州510120

出　　处：《中国内镜杂志》2008年第4期386-388,共3页China Journal of Endoscopy

摘　　要：目的评价宫腹腔镜联合诊治先天性阴道斜隔的作用。方法对该院1997～2006年收治的11例先天性阴道斜隔畸形病例的临床表现、诊治方法及疗效进行回顾性分析。结果11例患者中,Ⅰ型4例,年龄10～16岁,均未婚,其中痛经2例,发现盆腔包块1例,经期延长1例;Ⅱ型7例,年龄15～30岁,未婚5例(其中2例有性生活史),已婚2例,7例中自然流产2例,阴道分泌物增多1例,痛经1例,月经异常3例。11例患者中合并纵隔子宫3例,合并双子宫畸形8例。所有患者均合并双宫颈畸形。已知合并泌尿系统畸形8例,其余3例未知其有无泌尿系畸形。所有患者均行阴道斜隔切开术,7例行腹腔镜盆腔检查术,6例在腹腔镜下行手术治疗;5例行宫腔镜检查术,4例在宫腔镜下行手术治疗。随访3例。结论宫腹腔镜联合检查治疗术是治疗先天性阴道斜隔畸形的首选手术方式。[Objective] To evaluate the effect of combination of hysteroscopy and laparoscopy for the treatment of congenital oblique vaginal septum. [Methods] The charts of 11 cases diagnosed as congenital oblique vaginal septurn in our hospital between 1997 and 2006 were analyzed retrospectively. Their clinical characteristics, medical treatment and the curative effect were reviewed. [Results] Among the 11 patients, 4 patients aged 10-16 years were of type I （all were adolescent）, two of which complained of dysmenorrhea, pelvic mass was found in another patient and one patient had prolonged menstruation; 7 patients aged 15-30 years were of type Ⅱ. Among them, 2 women were married, 2 cases of other 5 unmarried women gave history of sexual contact, spontaneous abortion oc- curred in two women, 1 complained of increased vaginal discharge, 1 complained of dysmenorrhea, 3 complained of abnormal menstruation. All of the 11 cases had associated uterine malformations, among them, 3 had septate uterus, and the other 8 cases were associated with uterus didelphys. All cases had cervix duplex. 8 of the cases were known to have associated renal malformation, while in the remaining 3 cases renal malformation was not known. All the cases were treated by excision of the vaginal septum. Among the 7 cases who received laparoscopic examination, 6 underwent laparoscopic treatment of the pelvic. Among the 5 cases who received hysteroscopy, 4 underwent excision of the septum under hysteroseopy. 3 patients were followed up. [Conclusion] Combination of hysteroscopy and laparoscopy is the best choice for the treatment of congenital oblique vaginal septum.

关 键 词：阴道斜隔 临床资料 宫腹腔镜联合检查治疗术 

分 类 号：R711.1[医药卫生—妇产科学]