先天性阴道发育异常的分类及临床分析

目的 探讨先天性阴道发育异常不同病变类型的临床特点、诊断及手术治疗方法.方法 回顾性分析我院历年收治的81例先天性阴道异常患者的临床资料.结果 81例阴道异常患者中,共有6种病变类型,先天性无阴道16例(19.7%),阴道闭锁15例(18.5%),阴道横隔10例(12.3%),阴道纵隔14例(17.2%),阴道斜隔18例(22.2%),处女膜闭锁8例(9.8%).48例有原发性闭经(59.2%),22例伴有不规则下腹痛(27.1%).15例先天性无阴道患者采用腹膜法阴道成形术,其余患者均采用隔膜切开引流加阴道隔膜切除术,均取得满意效果.结论 对于阴道发育异常患者不同病变类型需选用不同手术方法,无阴道患者腹膜法不失为一种较理想的手术方法.

Abstract：

Objective To investigate the types,clinical features and therapeutic approaches of congenital anomalies of the vagina.Methods The clinical data of 81 patients with congenital anomalies of the vagina were analyzed retrospectively.Results There were 5 types in these 81 patients,and 16(19.7%)patients showed absence of the vagina,15(18.5%)had vaginal obstruction,10(12.3%) had transverse vaginal septum,14(17.2%)had longitudinal vaginal septae,18(22.2%)had septum obliguum,and 8(9.8%)had imperforate hymen.Forty-eight(59.2%)patients presented with primary amenorrhea,and 22 (27.1%) complained of irregular pelvic pain. Fifteen of the patients with absent vagina underwent amnion artificial vaginoplasty, and the others were treated with incising and removing the septum, all having good clinical outcomes.Conclusion Amnion artificial vaginoplasty is a good option for treatment of absent vagina.

Analysis of 81 cases of congenital anomalies of the vagina

Objective To investigate the types,clinical features and therapeutic approaches of congenital anomalies of the vagina.Methods The clinical data of 81 patients with congenital anomalies of the vagina were analyzed retrospectively.Results There were 5 types in these 81 patients,and 16(19.7%) patients showed absence of the vagina,15(18.5%) had vaginal obstruction,10(12.3%) had transverse vaginal septum,14(17.2%) had longitudinal vaginal septae,18(22.2%) had septum obliguum,and 8(9.8%) had imperforate hymen.For...