II型阴道斜隔综合征1例病例报告并文献复习

A Case Report of Type II Oblique Vaginal Septum Syndrome and Literature Review

摘要: 阴道斜隔综合征是一种罕见的女性生殖道畸形，患病率仅为0.1%~3.8%。为提高临床医生对阴道斜隔综合征的认识，并为诊治提供一定的经验，本文对青岛大学附属妇女儿童医院收治的青春期II型阴道斜隔综合征1例进行病例报告并对相关文献进行复习。患者为12岁女性，因阴道血性分泌物1月余入院，查体示盆腔内扪及大小约6 cm × 4 cm × 3 cm囊性包块，盆腔增强核磁提示完全性纵隔子宫、右侧宫颈管及阴道内大量积血，泌尿系超声示右肾缺如。入院后行B超监护下宫腔镜下阴道斜隔切除术，手术顺利，术后恢复良好。阴道斜隔综合征多在青春期后才会出现症状，且无特异性，对双子宫、双宫颈或泌尿系统发育畸形者应警惕该病。针对阴道斜隔综合征，手术治疗是唯一有效的治疗方法，多数预后好。

Abstract: Oblique vaginal septum syndrome is a rare malformation of the female reproductive tract, with a prevalence of only 0.1%~3.8%. In order to improve clinicians’ understanding of vaginal oblique syndrome and provide some experience for diagnosis and treatment, a case report of adolescent type II vaginal oblique syndrome was reported in Women and Children’s Hospital Affiliated to Qingdao University and related literature was reviewed. The patient was a 12-year-old female who was admitted to hospital with vaginal bloody secretions more than one month ago. Physical exami-nation showed that there was a cystic mass with a size of about 6 cm × 4 cm × 3 cm in the pelvic cav-ity. Enhanced pelvic magnetic resonance imaging revealed massive hematosis in the complete me-diastinum uterus, right cervical canal and vagina, and urinary system ultrasound showed absence of right kidney. After admission, hysteroscopic oblique septum resection was performed under the supervision of B-ultrasound. The operation was successful and the postoperative recovery was good. Most of the symptoms of OVSS occur after puberty, and it is non- specific, and it should be vigilant to those with double uterus, double cervix or urinary system developmental malformations. Surgical treatment is the only effective treatment for OVSS, and most of them have a good prognosis.