66例阴道发育异常的临床分析  

Clinical analysis of 66 cases with vaginal dysplasia

作　　者：乔春红[1] 韩克[2] 

机构地区：[1]南京大学医学院附属鼓楼医院集团宿迁市人民医院,宿迁223800 [2]南京大学医学院附属鼓楼医院,南京210000

出　　处：《生殖与避孕》2015年第9期659-663,共5页Reproduction and Contraception

摘　　要：目的:探讨不同类型阴道发育异常的临床特点及诊治策略。方法:回顾分析收治的66例阴道发育异常患者的临床资料。结果:66例阴道发育异常患者中,先天性无阴道21例(31.9%),阴道闭锁1例(1.5%),阴道横隔9例(13.6%),阴道纵隔17例(25.8%),阴道斜隔9例(13.6%),处女膜闭锁9例(13.6%),临床表现主要为原发性闭经、周期性腹痛、性生活困难。阴道发育异常患者常合并其他器官畸形。无阴道患者中有1例采用模具扩张,其余65例患者均采用手术治疗,治疗效果满意。结论:66例阴道发育异常以先天性无阴道多见,手术为主要的治疗方案,疗效可靠。Objective： To investigate the clinical features of different vaginal abnormalities and treatment strategy. Methods： The clinical data of 66 cases with vaginal abnormalities were analyzed. Results： Of the 66 cases with vaginal abnormalities, 21 cases were vaginal agenesis, 1 case was stresia of vagina, 9 cases were oblique vaginal septum, 9 cases were transverse vaginal septum, and 9 cases were imperforate hymen. The major clinical symptoms were primary amenorrhea, cyclic abdominal pain and difficulty in sexual life. The vaginal abnormali- ties often occur in combination with abnormalities of other organs. Of the 66 cases, besides 1 case was treated with tool, all the 65 cases underwent surgery and got good effects. Conclusion： Congenital absence of vagina is the most frequent aplasia of various congenital aplasia. Surgery is the primary treatment way and the clinical effects are favorable.

关 键 词：阴道发育异常 先天性无阴道 阴道隔膜 处女膜闭锁 阴道闭锁 

分 类 号：R711.1[医药卫生—妇产科学]