青春期少女阴道斜隔综合征1例

A Case of Vaginal Oblique Septum Syndrome in an Adolescent Girl

摘要: 阴道斜隔综合征是女性生殖道畸形中较为罕见的一种，发病率约为0.1%~3.8%。比较典型的阴道斜隔综合征表现为青春期月经来潮后伴有进行性周期性的痛经或月经初潮几月后发现不明原因的盆腔包块，影像学表现为双子宫、双阴道，一侧阴道完全或不完全闭锁，多伴同侧肾缺如。在此回顾性分析济宁医学院附属医院收治的一例确诊为阴道斜隔综合征的青春期少女，以腰部疼痛为主诉，不易引起临床医生的重视从而导致漏诊或误诊，且术中发现该患者的阴道斜隔分型并不典型。本文回顾该患者的诊治过程，并结合文献复习，以期对青春期少女阴道斜隔综合征的诊治提供参考价值。

Abstract: Oblique vaginal septum syndrome is a rare type of female reproductive tract malformation with an incidence rate of approximately 0.1%~3.8%. The typical manifestations of oblique vaginal septum syndrome include progressive cyclic dysmenorrhea after menstruation in adolescence or the dis-covery of an unexplained pelvic mass a few months after menarche. The imaging manifestations are a double uterus and a double vagina, and one side of the vagina is complete. Or incomplete atresia, often accompanied by ipsilateral renal absence. This article retrospectively analyzes the case of an adolescent girl admitted to the Affiliated Hospital of Jining Medical College who was diagnosed with oblique vaginal septum syndrome. The main complaint was waist pain, which was not easy to at-tract the attention of clinicians, leading to a missed diagnosis or misdiagnosis. In addition, the pa-tient’s vaginal discharge was found during the operation. The diagonal partition type is not typical. This article reviews the diagnosis and treatment process of this patient, combined with a literature review, in order to provide reference value for the diagnosis and treatment of oblique vaginal sep-tum syndrome in adolescent girls.