阴道斜隔综合征6例临床分析及文献复习  

A clinical analysis of six cases of oblique vaginal septum syndrome and literature review

作　　者：熊静[1] 郝丽娟[1] 林奕[1] 雷莉[1] 孙文洁[1] 徐冬梅[1] 潘赢政[1] 胡晓吟[1] 杨霞[1] 谭莉娜[1] Xiong Jing;Hao Lijuan;Lin Yi;Lei Li;Sun Wenjie;Xu Dongmei;Pan Yingzheng;Hu Xiaoyin;Yang Xia;Tan Lina(Department of Endocrinology,Chongqing Health Center for Women and Children)

机构地区：[1]重庆市妇幼保健院生殖内分泌科

出　　处：《重庆医科大学学报》2019年第5期679-682,共4页Journal of Chongqing Medical University

摘　　要：目的:探讨阴道斜隔综合征的合理诊疗方法。方法:对6例阴道斜隔综合征患者的临床资料进行回顾性分析。结果:6例患者中解剖分型II型5例,III型1例。6例患者均行B超检查。4例提示双子宫,2例提示完全性子宫纵隔右侧阴道斜隔3例,左侧阴道斜隔3例。6例均合并斜隔侧肾缺如。3例行阴道斜隔切除术,3例行宫腹腔镜诊治+阴道斜隔切除术。2例术中诊断盆腔子宫内膜异位症,1例术中诊断盆腔炎及输卵管积液。3例术前痛经,术后痛经消失。3例有生育要求,其中2例术后自然受孕。结论:阴道斜隔综合征临床表现多样,易误诊漏诊。准确诊断该病是治疗的关键。阴道斜隔综合征最根本的治疗方式是斜隔切除引流。Objective:To explore the optimal method of diagnosis and treatment for patients with oblique vaginal septum syndrome(OVSS).Methods:The clinical data of six patients with OVSS were retrospectively analyzed.Results:Among the six patients,five cases had type II and one had type III OVSS,according to the anatomical classification.All six patients were examined by ultrasonography.Four cases had uterus didelphys,and two had a complete uterine septum.In addition,three cases had a right oblique septum,and three cases had a left oblique septum.All patients were found to have ipsilateral renal agenesis.All cases underwent oblique vaginal septum resection,and hysteroscopy combined with laparoscopy was performed in three of them.During the surgery,two patients were diagnosed with endometriosis,and one with pelvic inflammatory disease and hydrosalpinx.Three patients had dysmenorrhea preoperatively and relief of symptoms postoperatively.Two of the three patients with fertility requirement conceived naturally after the surgery.Conclusion:OVSS have diverse clinical manifestations,which usually result in misdiagnosis and missed diagnosis.Accurate diagnosis of this disease is the key to treatment.Oblique vaginal septum resection is the optimal treatment for OVSS.

关 键 词：阴道斜隔综合征 临床分析 斜隔切除 

分 类 号：R713.3[医药卫生—妇产科学]