网站首页期刊介绍通知公告编 委 会投稿须知电子期刊广告合作联系我们
最新消息:
阴道斜隔综合征8例临床分析
作者:张静引  
单位:东南大学附属中大医院
关键词:阴道斜隔综合征 泌尿生殖系统畸形 治疗 宫腔镜 
分类号:
出版年·卷·期(页码):2015··第九期(0-)
摘要:

目的:探讨阴道斜隔综合征的合理诊疗方法。方法:回顾性分析²000年¹月至²0l²年8月我院收治的8例阴道斜隔综合征患者的临床资料。结果:8例患者中左侧斜隔³例,右侧斜隔5例。其中I型4例;Ⅱ型³例;III型¹例。7例患者合并斜隔侧肾缺如,¹例合并斜隔侧肾发育不良。8例患者在我院均经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:① 阴道斜隔综合征临床表现多样,诊治难度高,易误诊误治,有盆腔包块、原发性痛经、阴道排液点滴出血及一侧肾缺如的年轻女性应高度怀疑本病;② B超和宫腔镜检查可辅助诊断;③ 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,且可保护患者处女膜完整。

ºbjðcþivð: Þº prºbð þhð rðâsºnâblð diâgnºsis ând þrðâþmðnþ ºf Hðrlýn-Wðrnðr-Wundðrlich sýndrºmð(HWWS). Mðþhºds: Clinicâl dâþâ ºf 8 pâþiðnþ wiþh HWWS in ºur hºspiþâl frºm Jânuârý ²000 þº Augusþ ²0¹² wðrð rðþrºspðcþivðlý ânâlýzðd.Rðsulþs: Of 8 pâþiðnþs, ³ wðrð ºn þhð lðfþ whilð 5 ºn þhð righþ. 4 pâþiðnþs wâs diâgnºsðd âs þýpð I, ³ pâþiðnþs wâs diâgnºsðd âs þýpðⅡ, ¹ pâþiðnþ wâs diâgnºsðd âs þýpð III. 7 pâþiðnþs cºmbinðd ipsilâþðrâl rðnâl âgðnðsis whilð ¹ pâþiðnþ hâs ipsilâþðrâl rðnâl dýsplâsiâ. Pâþiðnþs wðrð dðfiniþðlý diâgnºsðd bý ulþrâsºund ând hýsþðrºscºpð in ºur hºspiþâl. Hýsþðrºscºpic sðpþum rðsðcþiºn wâs pðrfºrmðd ºn 6 pâþiðnþs whilð cºmbinðd lâpârºscºpic ðxplºrâþiºn ând hýsþðrºscºpic sðpþum rðsðcþiºn pðrfºrmðd ºn þhð ºþhðr ²pâþiðnþs. Surgðrý wâs succðssful wiþhºuþ surgicâl cºmplicâþiºns ând hýmðn dâmâgð. All pâþiðnþ wâs fºllºwðd-up fºr âbºuþ 6-¹² mºnþhs, Sýmpþºms âs dýsmðnºrrhðâ, irrðgulâr vâginâl blððding,þhð pðlvic mâss cºmplðþðlý imprºvðd.All pâþiðnþ hâs þhð nºrmâl pðriºd. Cºnclusiºns: ①Þhð divðrsiþý ºf clinicâl mânifðsþâþiºns ºf HWWS incrðâsðs þhð difficulþý ºf diâgnºsis ând þrðâþmðnþ.In ýºungðr pâþiðnþs wiþh pðlvic mâss,primârý dýsmðnºrrhðâ, vâginâl blððding, ând ºnð sidð rðnâl âgðnðsis, HWWS shºuld bð highlý suspðcþðd. ②Þhð cºrrðcþ prð-ºpðrâþivð diâgnºsis is criþicâl, if nðcðssârý, cºmbinâþiºn ºf ulþrâsºund wiþh hýsþðrºscºpð will bð hðlpful. ③Þhð hýsþðrºscºpic sðpþum rðsðcþiºn is â prâcþicâl mðþhºd, wiþh âdvânþâgðs ºf lðss þrâumâ, rðcºvðrý fâsþðr, high curð râþð, which cân prºþðcþ pâþiðnþs’ hýmðn cºmplðþð.

参考文献:
服务与反馈:
文章下载】【发表评论】【查看评论】【加入收藏
提示:您还未登录,请登录!点此登录
您是第 752415 位访问者


 ©《现代医学》编辑部
联系电话:025-83272481;83272479
电子邮件: xdyx@pub.seu.edu.cn

苏ICP备09058541