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目的探讨阴道发育异常的临床特征和诊治情况。方法回顾性分析2007年至2014年在我院就诊的121例阴道发育异常患者的临床资料。结果 121例阴道发育异常患者中先天性无阴道42例(34.7%),阴道闭锁36例(29.8%),阴道纵隔33例(27.3%),阴道横隔10例(8.2%)。临床表现主要为无月经来潮(64.5%)、周期性腹痛(51.2%)和性生活困难(47.9%)。其中合并子宫畸形患者80例(66.1%),合并肾脏畸形患者12例(9.9%)。121例阴道发育异常患者中维吾尔族69例(57.0%),汉族29例(24.0%),哈萨克族14例(11.6%),其他民族9例(7.4%)。121例阴道发育异常患者中95例行手术治疗。结论阴道发育异常以先天性无阴道所占比例最大,可伴有子宫发育畸形和泌尿系统畸形,伴发畸形的诊断有重要临床意义。阴道发育异常患者大多需手术治疗,具体术式根据病变类型决定。
Objective To investigate the clinical features and diagnosis and treatment of vaginal dysplasia. Methods The clinical data of 121 patients with vaginal dysplasia who were treated in our hospital from 2007 to 2014 were analyzed retrospectively. Results Among the 121 patients with vaginal dysplasia, 42 cases (34.7%) had congenital absence of vagina, 36 cases (29.8%) had vaginal atresia, 33 cases had vaginal mediastinum (27.3%) and 10 cases had vaginal septum (8.2%). The main clinical manifestations were no menstrual cramps (64.5%), recurrent abdominal pain (51.2%) and sexual difficulties (47.9%). Among them, 80 cases (66.1%) had combined uterine malformations, and 12 cases (9.9%) had combined renal malformations. Among 121 cases of vaginal dysplasia, 69 (57.0%) were Uygur, 29 (24.0%) were Han, 14 (11.6%) were Kazak and 9 (7.4%) were other ethnic groups. 95 cases of 121 cases of vaginal dysplasia were surgically treated. Conclusions Vaginal dysplasia with congenital absence of the largest proportion of the vagina can be associated with uterine malformations and urinary system deformities, associated with deformity diagnosis of important clinical significance. Most patients with vaginal dysplasia require surgical treatment, the specific type of surgery based on the type of decision.