腹腔镜辅助治疗青春期先天性阴道闭锁合并有正常子宫患者的临床分析

发布时间：2018-03-29 20:31

  本文选题：阴道闭锁　切入点：青春期　出处：《第三军医大学学报》2017年15期

【摘要】：目的探讨对于青春期先天性阴道闭锁合并有正常子宫患者,采用腹腔镜手术辅助治疗,保留生育及生殖功能的可行性。方法回顾我科2008年2月至2015年12月收治的21例青春期先天性阴道闭锁合并有正常子宫患者病例及随访资料,均采用腹腔镜辅助下的游离切断部分盆底韧带及人工阴道前庭结合的方法进行治疗。分析患者基本手术情况、月经来潮、性生活等情况。结果本组患者中Ⅰ型阴道闭锁12例,Ⅱ型阴道闭锁9例,患者在腹腔镜辅助下完成手术,均保留子宫成功。平均手术时间67.1(44~129)min,术中平均出血67.4(20~200)m L,术后平均住院时间6.4(4~11)d,无损伤膀胱、直肠等手术并发症。术后随访患者19例,2例失访,随访时间为4~62个月。19例患者均月经来潮,4例患者(1例先天性阴道完全闭锁,3例先天性阴道中下段闭锁)术后性生活满意。结论青春期先天性阴道闭锁合并有正常子宫患者的治疗方法棘手有限,腹腔镜辅助下的手术治疗有望成为治疗的有效方法之一。
[Abstract]:Objective to investigate the effect of laparoscopy on the treatment of pubertal congenital vaginal atresia complicated with normal uterus. Methods from February 2008 to December 2015, 21 cases of congenital vaginal atresia complicated with normal uterus were retrospectively reviewed. All patients were treated with laparoscopically assisted partial pelvic floor ligament amputation and artificial vagina vestibule. The basic operation, menstrual onset and sexual life were analyzed. Results there were 12 cases of type I vaginal atresia in this group. There were 9 cases of type 鈪，

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