阴道发育异常247例临床分析  

Clinical analysis of vaginal malformation in 247 cases

作　　者：王曼[1] 苏铁芬[1] 马文擎[1] 栗妍[1] 项涛[1] 何福仙[1] 濮德敏[1] 刘丽江[1] 钟刚[1] 王世宣[1] 黎宁[1] 

机构地区：[1]华中科技大学同济医学院附属同济医院,武汉430030

出　　处：《现代妇产科进展》2012年第11期825-828,共4页Progress in Obstetrics and Gynecology

基　　金：湖北省科技计划重点项目(No:2010CDA044)

摘　　要：目的:探讨阴道发育异常的临床特征和诊治情况。方法:回顾性分析2002年至2011年在我院就诊的247例阴道发育异常患者的临床资料。结果:247例阴道发育异常患者中先天性无阴道173例(70.04%),阴道闭锁65例(26.32%),阴道隔膜9例(3.64%)。临床表现主要为无月经来潮(96.4%)、腹痛(32.4%)和性生活困难(8.9%)。其中合并子宫畸形患者201例(81.4%),行肾脏B超184例中合并肾脏畸形患者19例(10.3%)。247例阴道发育异常患者中235例行手术治疗。结论:阴道发育异常以先天性无阴道所占比例最大,可伴有子宫发育畸形和泌尿系统畸形,伴发畸形的诊断有重要临床意义。阴道发育异常患者大多需手术治疗,具体术式根据病变类型决定。Objective：To investigate the clinical feature,diagnosis and treatment of vaginal malformation.Methods：A retrospective study was carried out to analyze the clinical datas of 247 patients with vaginal malformation in Wuhan Tongji Hospital from 2002 to 2011.Results：In 247 patients,there were 173（70.04%） with congenital absence of the vagina,65（26.32%） with vaginal atresia,and 9（3.64%） with vaginal septum.The clinical manifestations were primary amenorrhea（96.4%）,abdominal pain（32.4%） and dyspareunia（8.9%）.201 patients（81.4%） were associated with uterine malformation.Incidence of renal malformation was 10.3%（19/184）.235 of 247 patients were treated by operation.Conclusions：Congenital absence of the vagina is the most common type of vaginal malformation,which is often associated with uterine malformation and urinary malformation.Much attention should be paid to those associated malformations because of their important clinical significance.Most patients need operation while different methods are chosen according to the type of the malformation.

关 键 词：阴道发育异常 先天性无阴道 阴道闭锁 子宫畸形 

分 类 号：R711.1[医药卫生—妇产科学]