女性生殖道先天性不全梗阻病例分类分析

发布时间：2018-02-12 08:03

本文关键词： 女性生殖道不全梗阻　出处：《安徽医科大学》2015年硕士论文　论文类型：学位论文

【摘要】：目的探讨伴有月经血排出异常的女性生殖道发育异常患者的诊断与治疗。方法通过对1994年5月至2014年12月20多年间,就诊于我院的女性生殖道畸形患者病例的收集与整理,挑选符合女性生殖道先天性不全梗阻定义90例患者的病例资料,进行回顾性分析。综合分析其主要临床表现,诊断及鉴别诊断,处理方法等,并结合书籍杂志的报道补充完善相关病种,根据生殖道梗阻部位对伴有月经血排出异常的女性生殖道发育异常疾病进行分类分析。结果1.提出女性生殖道先天性不全梗阻这一新的观点。2.根据梗阻部位不同,将女性生殖道先天性不全梗阻分为外生殖器不全梗阻,阴道不全梗阻,子宫颈不全梗阻及子宫不全梗阻四种类型。3.女性假两性畸形为女性生殖道先天性不全梗阻最常见类型,其中以医源性女性假两性就诊患者最多。4.子宫颈不全闭锁病例少见,极易误诊,准确诊断指导正确处理,患者结局好。结论女性生殖道先天性不全梗阻及其分类方法的提出,可望为伴有月经血排出异常的女性生殖道发育异常患者的诊断与治疗提供了新的思路。
[Abstract]:Objective to investigate the diagnosis and treatment of female genital tract dysplasia with abnormal menstrual bleeding. Methods the cases of female genital tract malformation in our hospital from May 1994 to December 20th 2014 were collected and arranged. The data of 90 patients with congenital incomplete obstruction of female genital tract were selected and analyzed retrospectively. The main clinical manifestations, diagnosis and differential diagnosis, treatment methods, etc. And to supplement and perfect the related diseases with the reports of books and magazines, According to the location of reproductive tract obstruction, the developmental disorders of female genital tract with abnormal menstrual blood excretion were classified and analyzed. Results 1.The new viewpoint of female genital tract congenital incomplete obstruction was put forward. 2. According to the location of obstruction, The female genital tract congenital incomplete obstruction was divided into four types: external genital incomplete obstruction, vaginal incomplete obstruction, cervical incomplete obstruction and uterine incomplete obstruction. 3. Female pseudohermaphroditism was the most common type of female genital tract congenital incomplete obstruction. Among them, iatrogenic female pseudohermaphroditism is the most. 4. Cervical incomplete atresia is rare, easy to misdiagnose, accurate diagnosis and correct treatment, and the outcome of the patients is good. Conclusion the female genital tract congenital incomplete obstruction and its classification method are put forward. It is expected to provide a new idea for diagnosis and treatment of female reproductive tract dysplasia with abnormal menstrual blood excretion.
【学位授予单位】：安徽医科大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R711.1

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