Frank压迫法阴道成形术治疗先天性无阴道

目的探讨Frank压迫法阴道成形术治疗先天性无阴道的临床效果。方法观察Frank法治疗159例先天性无阴道患者的治疗时间和随访治疗效果。结果159例患者全部治疗成功,所需时间最长7个月,最短10 d,62例已结婚,随访性生活满意。结论对于阴道前庭部弹性好,阴道外口处有0.5 cm以上陷凹的先天性无阴道患者,用Frank压迫法阴道成形术简便、安全、有效,有2 cm以上阴道者,疗效更佳。     

腹腔镜腹膜阴道成形术的临床研究

目的探讨腹腔镜腹膜阴道成形术在妇科领域的应用价值。方法回顾性分析腹腔镜腹膜阴道成形术16例(研究组)和传统方法羊膜阴道成形术16例(对照组)患者的手术情况和术后情况。结果两组患者在年龄、病史、症状体征等方面无显著差异(P>0.05)。研究组术中出血(61±7.5)ml,对照组出血(102±23.7)ml(P>0.05);研究组手术时间(100±46.6)min,对照组手术时间(168±73.7min)(P<0.05);研究组术后有尿路刺激症状者仅1例,而对照组有尿路刺激症状者9例;研究组术后不良反应较对照组大为减少;研究组阴道长度(9.3±0.7)cm,宽度(3.5±0.6)cm,对照组阴道长度(5.4±0.64)cm,宽度(2.3±0.5)cm,两组有显著性差异(P<0.05),研究组性生活满意程度比对照组高。结论腹腔镜腹膜阴道成形术,是一种更安全、有效、创伤小的手术方式,可以提高先天性无阴道患者的生活质量。     

Cytology of primary vaginal melanoma: An unusual report on fine needle aspiration

Primary malignant melanoma of the vagina is an extremely uncommon malignancy comprising of less than 10% malignancies of the female genital tract and 0.3% of all melanomas. Melanoblasts are neural crest derivatives and are notorious for causing primary cutaneous neoplasms. However, they involve virtually every organ of the body including eye, intestines and ocular mucosa, probably due to aberrancies in cell migration. Vagina is a rare site and primary melanoma of the vagina occurs in postmenopausal women with vaginal discharge, bleeding, or mass as common presenting complaints. Only a handful of case reports are available describing this entity on biopsy and PAP smear samples; however, fine needle aspiration has seldom been discussed. In the present report we discuss a case of an elderly female who complained of mass protruding through the vaginal opening, FNAC was done from the mass as well as from the right inguinal lymph node. An extensive clinicoradiological workup, and immunohistochemical confirmation is essential to rule out metastatic lesions and confirm primary. Diagn. Cytopathol. 2017;45:252–256. © 2016 Wiley Periodicals, Inc.     

Vaginal rejuvenation: improving sex by design?

Vaginal rejuvenation includes a range of procedures designed to reduce the internal and external diameters of the vagina, mainly to improve sexual function and/or the appearance of the vagina. Women with symptoms of vaginal laxity because of childbirth or aging, seek these procedures. Conventional treatments include topical oestrogens, Kegel's exercises and corrective surgery to restore the pelvic floor. Newer minimally invasive treatments like carbon dioxide (CO₂) or erbium-doped yttrium aluminium garnet (Er–YAG) laser and radiofrequency ablation of the vagina are becoming widely available and increasingly popular. Although these treatments have limited scientific evidence, they seem to be effective in improving vaginal laxity and providing symptom relief.     

蛇床子汤外阴阴道冲洗联合硝酸咪康唑栓治疗湿热下注型霉菌性阴道炎随机平行对照研究

[目的]观察蛇床子汤外阴阴道冲洗配合硝酸咪康唑栓治疗湿热下注型霉菌性阴道炎疗效。[方法]使用随机平行对照方法,将128例门诊患者按就诊顺序编号分为两组。对照组60例硝酸咪康唑1枚/次,1次/d,阴道用药;治疗组68例蛇床子汤洗剂(蛇床子、苦参、百部、黄柏、白鲜皮、明矾、荆芥、川椒),250mL/次,1次/d,外阴阴道冲洗;硝酸咪康唑栓治疗同对照组。两组均连续治疗7d为1疗程。观测临床症状、阴道分泌物、不良反应。治疗1疗程,判定疗效。[结果]治疗组显效50例,有效15例,无效3例,总有效率95.59%。对照组显效25例,有效24例,无效11例,总有效率81.67%。治疗组疗效优于对照组(P0.05)。[结论]蛇床子汤外阴阴道冲洗联合硝酸咪康唑栓治疗湿热下注型霉菌性阴道炎效果显著,值得推广。     

Premalignant and malignant lesions of the vagina

This paper will review vaginal lesions including common premalignant conditions as well as primary malignant epithelial and mesenchymal neoplasms. Discussion of the precursor vaginal squamous intraepithelial lesion (VaSIL) will precede a section focused on vaginal squamous cell carcinoma (VaSCC). The topics of adenosis and atypical endometriosis will precede discussion of vaginal clear cell carcinoma and endometrioid carcinoma. Vaginal sarcomas and adenosarcomas will be briefly addressed. Metastatic tumours which comprise the majority of vaginal malignancies will also be discussed. The review will conclude with a brief discussion of the neovagina and the rare occurrence of malignancy in this site.     

Extraskeletal neuroectodermal tumour of the vagina: a single case report and review

Abstract  A case report and review of an extraskeletal neuroectodermal tumour of the vagina. Background  Ewing’s sarcoma (ES) and primitive neuroectodermal tumours (PNETs) account for approximately 6–10% of primary malignant bone tumours and, following osteosarcoma, are the second most common group of bone sarcomas in children. Ewing’s sarcoma rarely affects the genitourinary tract. Case summary  We report a rare case of extraskeletal Ewing’s sarcoma diagnosed in a 47-year-old Indian woman presenting with a simple cystic lesion in the posterior wall of the vagina. The histopathology revealed a rare presentation of a primitive malignant extraskeletal neuroectodermal tumour. Conclusion  As our PubMed review found only six previously reported cases of vaginal extraskeletal Ewing’s sarcoma. Presentation as vaginal masses helped in early disease detection.