无孔处女膜临床分析  

Clinical analysis of imperforate hymen: a report of 5 cases

作　　者：刘元姣[1] 韩炜珍[1] 张蔚[1] 

机构地区：[1]武汉大学人民医院妇产科,湖北武汉430060

出　　处：《罕少疾病杂志》2002年第2期1-2,共2页Journal of Rare and Uncommon Diseases

摘　　要：目的分析总结无孔处女膜的诊断要点,提高诊断率。方法回顾分析我院近10余年收治的5例无孔处女膜的临床资料。结果 5例患者均无月经初潮,仅有程度不同的下腹疼痛,尤其是有周期性的下腹疼痛。3例表现为急性下腹痛并急性尿潴留。2例误诊为卵巢囊肿、卵巢畸胎瘤。结论少女已进入月经来潮年龄,但无月经初潮,仅有程度不同的下腹疼痛,尤其是有周期性的下腹疼痛,应想到无孔处女膜的可能。肛诊触及盆腔囊性包块,不活动;B超探查子宫与附件形态正常,相当于阴道的解剖部位有液性暗区,提示经血潴留,有助于本病的诊断。ObjectiveTo report 5 cases of imperforate hymen, analyze factors of diagnosis and misdiagnosis. MethodsData of 5 cases of imperforate hymen filed in our hospital from 1986 to 2000 were analyzed. ResultsAll of these young girls wereabsent of menarche, but had periodical pain in lower abdomen. Three of them had acute pain in lower abdomen with acute rentention ofurine. Two patients were misdiagnosed as ovarian cyst and teratoma. ConclutionsFor young girls absent of menarche, havingperiodical pain or acute pain in lower abdomen with acute rentention of urine, imperforate hymen should be considered. When inspectanus, cystiform mass can be touched. B-ultrasound shows that uterus and bilateral adnexas are normal in shape and there being cyst-mass where is vergina anatomically. All this indicate retention of menstruous blood.

关 键 词：无孔处女膜 经血潴留 病因 诊断 症状 体征 

分 类 号：R711.1[医药卫生—妇产科学]