腹腔镜下腹膜代阴道成形术治疗先天性阴道闭锁1例并文献复习

Laparoscopic Peritoneal Vaginoplasty for Congenital Vaginal Atresia: A Case Report and Literature Review

摘要: 本文回顾性分析我院腹腔镜下腹膜代阴道成形手术治疗先天性阴道闭锁1例，结合其相关文献探讨该疾病的症状、诊断、治疗及预后。目前该疾病诊断主要依靠临床表现，体格检查及盆腔核磁共振检查，治疗上则以手术为主，术后阴道内放置模具预防原阴道闭锁部位病灶粘连，该疾病患者多于青春期月经来潮后周期性经期下腹痛为主要临床表现，可早期发现并尽早行手术治疗，患者预后多较好。

Abstract: In this paper, a case of congenital vaginal atresia treated by laparoscopic peritoneal vaginoplasty in our hospital was analyzed retrospectively, and the symptoms, diagnosis, treatment and prognosis of the disease were discussed. At present, the diagnosis of the disease mainly depends on clinical manifestations, physical examination and pelvic magnetic resonance examination, while surgery is the main treatment. After operation, molds are placed in the vagina to prevent the adhesion of the original vaginal atresia. The main clinical manifestation of the disease is periodic lower abdominal pain after menstruation in puberty. It can be detected and treated as early as possible, and the prognosis of the patients is better.