完全性阴道闭锁合并弥漫性盆腹腔子宫内膜异位症——一例病例报道及文献复习
The Complete Vaginal Atresia with Diffuse Pelvic and Abdominal Endometriosis —A Case Report and Review of Literature
DOI: 10.12677/ACM.2022.12121627, PDF,   
作者: 尹一凡：青岛大学，山东 青岛；娄艳辉*, 殷广洁, 夏玉芳, 于 啸：青岛大学附属医院，山东 青岛
关键词: 子宫内膜异位症；阴道闭锁；阴道成形术；Endometriosis； Vaginal Atresia； Vaginoplasty
摘要: 完全性阴道闭锁是一种少见的女生生殖道畸形，主要通过手术再通或者重建新阴道进行治疗，然而再黏连、狭窄，性生活困难等并发症并不少见，本文介绍了一例完全性阴道闭锁合并弥漫性盆腹腔内异症的病例，并没有采取常用的阴道成形术，随访2年仍未出现明显并发症，并讨论阴道闭锁早期诊断重要性，治疗方法的选择及对患者预后的影响。
Abstract: Complete vaginal atresia is rare in female genital malformation, which is mainly treated by surgical recanalization or reconstruction of a new vagina. However, complications such as re-adhesion, steno-sis, and dyspareunia are common. This paper introduces a case of complete vagina atresia with diffuse pelvic and abdominal endometriosis, she did not take the usual vaginoplasty, and was no obvious complications after 2 years of follow-up, and discusses the importance of early diagnosis of vaginal atresia and the selection of treatment methods.
文章引用：尹一凡, 娄艳辉, 殷广洁, 夏玉芳, 于啸. 完全性阴道闭锁合并弥漫性盆腹腔子宫内膜异位症——一例病例报道及文献复习[J]. 临床医学进展, 2022, 12(12): 11292-11297. https://doi.org/10.12677/ACM.2022.12121627

参考文献

[1] Acién, P. and Acién, M. (2016) The Presentation and Management of Complex Female Genital Malformations. Human Reproduction Update, 22, 48-69. [Google Scholar] [CrossRef] [PubMed]
[2] Uğur, M., Turan, C., Mungan, T., Kuşçu, E., Senöz, S., Ağiş, H.T. and Gökmen, O. (1995) Endometriosis in Association with Müllerian Anomalies. Gy-necologic and Obstetric Investigation, 40, 261-264. [Google Scholar] [CrossRef] [PubMed]
[3] Pitot, M.A., Bookwalter, C.A. and Dudiak, K.M. (2020) Mullerian Duct Anomalies Coincident with Endometriosis: A Review. Abdominal Radiology, 45, 1723-1740. [Google Scholar] [CrossRef] [PubMed]
[4] 朱兰, 冷金华, 郎景和, 连利娟, 黄荣丽, 刘珠凤, 孙大为. 阴道闭锁16例临床分析[J]. 中华妇产科杂志, 2002, 37(4): 217-219.
[5] Song, X.C., Zhu, L., Ding, J., et al. (2016) Clinical Characteristics of Congenital Cervical Atresia and Associated Endometriosis among 96 Patients. International Journal of Gynecology & Obstetrics, 134, 252-255. [Google Scholar] [CrossRef] [PubMed]
[6] Vercellini, P., Viganò, P., Somigliana, E., et al. (2014) Endome-triosis: Pathogenesis and Treatment. Nature Reviews Endocrinology, 10, 261-275. [Google Scholar] [CrossRef] [PubMed]
[7] Redwine, D.B. (2002) Diaphragmatic Endometriosis: Diagnosis, Surgical Management, and Long-Term Results of Treatment. Fertility and Sterility, 77, S23. [Google Scholar] [CrossRef] 
[8] Ludwin, A. and Pfeifer, S.M. (2019) Reproductive Surgery for Mullerian Anomalies: A Review of Progress in the Last Decade. Fertility and Sterility, 112, 408-416. [Google Scholar] [CrossRef] [PubMed]
[9] Willemsen, W.N. and Kluivers, K.B. (2015) Long-Term Results of Vaginal Construction with the Use of Frank Dilation and a Peritoneal Graft (Davydov Procedure) in Patients with Mayer-Rokitansky-Kuster Syndrome. Fertility and Sterility, 103, 220-227.e1. [Google Scholar] [CrossRef] [PubMed]
[10] Kisku, S., Varghese, L., Kekre, A., et al. (2015) Bowel Vaginoplasty in Children and Young Women: An Institutional Experience with 55 Patients. International Urogynecology Journal, 26, 1441-1448. [Google Scholar] [CrossRef] [PubMed]
[11] van der Sluis, W.B., Bouman, M.-B., Meijerink, W.J.H.J., et al. (2016) Diversion Neovaginitis after Sigmoid Vaginoplasty: Endoscopic and Clinical Characteristics. Fertility and Sterility, 105, 834-839.e1. [Google Scholar] [CrossRef] [PubMed]
[12] Moon, H.S., Koo, J., Lee, H., et al. (2017) Simple Neovaginoplasty Using Spontaneous Regeneration Ability of Labial and Vestibular Flap in Patients with Müllerian Agenesis. Gynecology and Minimally Invasive Therapy, 6, 173-177. [Google Scholar] [CrossRef] [PubMed]
[13] 罗光楠, 秦成路, 张可, 龚旭, 石瑾秋, 李宝艳, 番宏信. 罗湖四式治疗合并功能性子宫的阴道闭锁5例报告[J]. 中国微创外科杂志, 2016, 16(10): 927-930.
[14] Callens, N., De Cuypere, G., De Sutter, P., et al. (2014) An Update on Surgical and Non-Surgical Treatments for Vaginal Hypoplasia. Human Reproduction Update, 20, 775-801. [Google Scholar] [CrossRef] [PubMed]

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