经腹手术方案成功治疗1例先天性无宫颈及阴道发育不全患者  

Abdominal surgical approach to a case of complete cervical and partial vaginal agenesis

作　　者：Gurbuz A. Karateke A. Haliloglu B. 张剑萍 

机构地区：[1]Bagdat Cd, Mustafa Mazhar Bey Sk, Istanbul, Turkey Dr.

出　　处：《世界核心医学期刊文摘（妇产科学分册）》2005年第11期28-28,共1页Core Journal in Obstetrics/Gynecology

摘　　要：Objective: To construct a uterovaginal canal in a patient with a complete cervical agenesis and partial vaginal agenesis. Design: Case report. Setting: Zeynep Kamil Women’ s and Children Hospital. Patient(s): A 15-year-old woman presented with lower abdominal pain. On examination, partial vaginal agenesis with a 4-cm vagina was noted. A pelvic ultrasonography revealed hematometra and the absence of a cervix. Intervention(s): Surgical therapy included creation of an ostium by making 1.5-cm midline vertical hysterotomy incision, trimming away the fibrous tissue at the distal portion of uterus, and attaching the proximal end of the vagina to the uterus by the abdominal route. A stent was left in place for 2 weeks. Main Outcome Measure(s): Pelvic ultrasonography and clinical follow-up evaluation. Result(s): Regular menstrual periods were observed for 6 months beginning at the first month. The follow-up pelvic ultrasonography was normal. Conclusion(s): Cervicoplasty attaching the mucosal lining of the endometrium to that of the vagina permits the creation of a patent cervical canal with short stenting time.Objective: To construct a uterovaginal canal in a patient with a complete cervical agenesis and partial vaginal agenesis. Design: Case report. Setting: Zeynep Kamil Women' s and Children Hospital. Patient(s): A 15-year-old woman presented with lower abdominal pain. On examination, partial vaginal agenesis with a 4-cm vagina was noted. A pelvic ultrasonography revealed hematometra and the absence of a cervix. Intervention(s): Surgical therapy included creation of an ostium by making 1.5-cm midline vertical hysterotomy incision, trimming away the fibrous tissue at the distal portion of uterus, and attaching the proximal end of the vagina to the uterus by the abdominal route. A stent was left in place for 2 weeks. Main Outcome Measure(s): Pelvic ultrasonography and clinical follow-up evaluation. Result(s): Regular menstrual periods were observed for 6 months beginning at the first month. The follow-up pelvic ultrasonography was normal. Conclusion(s): Cervicoplasty attaching the mucosal lining of the endometrium to that of the vagina permits the creation of a patent cervical canal with short stenting time.

关 键 词：发育不全 经腹手术 宫颈管 盆腔超声检查 肌层 宫腔积血 垂直切口 岁下 子宫内膜 妇幼医院 

分 类 号：R713[医药卫生—妇产科学]