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目的:探讨阴道斜隔综合征的合理诊疗方法。方法:对8例阴道斜隔综合征患者的临床资料进行回顾性分析。结果:8例患者中左侧斜隔3例,右侧斜隔5例;解剖分型Ⅰ型4例,Ⅱ型3例,Ⅲ型1例;7例合并斜隔侧肾缺如,1例合并斜隔侧肾发育不良。8例患者均经B超和宫腔镜检查确诊。6例行宫腔镜下阴道斜隔电切术,2例行腹腔镜探查及宫腔镜下阴道斜隔切除术。手术顺利,无手术并发症及处女膜损伤,术后随访观察6~12个月,患者痛经、阴道异常出血、盆腔包块等症状完全改善,月经恢复正常。结论:阴道斜隔综合征临床表现多样,易误诊误治,B超和宫腔镜检查可辅助诊断;宫腔镜下阴道斜隔切除是一种切实可行的治疗方法,具有创伤小、恢复快、治愈率高等优点,且可保护处女膜的完整性。
Objective: To explore the reasonable diagnosis and treatment of vaginal oblique syndrome. Methods: The clinical data of 8 patients with vaginal oblique syndrome were retrospectively analyzed. Results: In the 8 patients, there were 3 cases of left oblique septum and 5 cases of right oblique septum. There were 4 cases of type Ⅰ, 3 cases of type Ⅱ and 1 case of type Ⅲ in 7 cases. Combined oblique oblique renal dysplasia. 8 patients were confirmed by B-ultrasound and hysteroscopy. 6 cases of hysteroscopic vaginal incision resection, 2 cases of laparoscopic exploration and hysteroscopic vaginal oblique resection. Surgery was smooth, no surgical complications and hymen injury, postoperative follow-up observation of 6 to 12 months, patients with dysmenorrhea, vaginal bleeding, pelvic mass and other symptoms completely improved, menstruation returned to normal. Conclusion: The clinical manifestations of vaginal oblique syndrome, misdiagnosis and mistreatment, B-and hysteroscopy can be assisted diagnosis; hysteroscopic vaginal oblique resection is a viable treatment, with less trauma, faster recovery , High cure rate, and can protect the integrity of the hymen.