阴道斜隔综合征一例并文献复习

doi:10.12280/gjfckx.20220300

摘要/Abstract

摘要：

女性生殖道畸形是女性人群中较为常见的一类疾病，其在女性人群中的发病率为6%，其中阴道斜隔综合征占女性生殖道畸形的3.7%。由于阴道斜隔综合征症状复杂多变、无特异性、影像学改变不典型，临床易误诊、漏诊。漏诊后发生子宫内膜异位症、盆腔粘连和不孕症的风险将增加；误诊可导致过度手术、延误病情等后果。回顾性分析甘肃省妇幼保健院收治的1例不典型阴道斜隔综合征患者，月经来潮后15年无症状，剖宫产术后4个月出现月经中期阴道出血及间断发热、腹痛，未正确诊断及恰当处理。剖宫产术后4年确诊，行阴道斜隔切除术后成功治愈。本例患者诊治过程对临床诊治阴道斜隔综合征有一定的参考价值，并复习相关文献，以期为阴道斜隔综合征的诊治提供经验。

关键词: 阴道, 阴道疾病, 子宫, 肾, 痛经, 病例报告

Abstract:

Female genital tract malformation is a common disease in female population, with a incidence rate of 6%, of which oblique vaginal septum syndrome accounts for 3.7% of female genital tract malformations. Because of its complex, changeable, nonspecific symptoms and atypical imaging changes, the rate of misdiagnosis and missed diagnosis is high. The risk of endometriosis, pelvic adhesions and infertility will increase after missed diagnosis. Misdiagnosis may lead to excessive operation and delay of illness. A case of atypical oblique vaginal septum syndrome admitted to Gansu Provincial Maternity and Child-Care Hospital was analyzed retrospectively. The patient was asymptomatic for 15 years after menstruation and had menstrual vaginal bleeding in the middle of menstruation, intermittent fever and abdominal pain in 4 months after cesarean section. The patient was not correctly diagnosed and properly treated. The diagnosis was confirmed 4 years after cesarean section, and was cured successfully after vaginal oblique septectomy. The diagnosis and treatment of this patient has certain reference value for the clinical diagnosis and treatment of oblique vaginal septum syndrome, and the relevant literature is reviewed in order to provide experience for the diagnosis and treatment of oblique vaginal septum syndrome.

Key words: Vagina, Vaginal diseases, Uterus, Kidney, Dysmenorrhea, Case reports

陈璐璐, 吴珍珍, 刘青. 阴道斜隔综合征一例并文献复习[J]. 国际妇产科学杂志, 2022, 49(6): 717-720.

CHEN Lu-lu, WU Zhen-zhen, LIU Qing. A Case of Oblique Vaginal Septum Syndrome and Literature Review[J]. Journal of International Obstetrics and Gynecology, 2022, 49(6): 717-720.

图/表 4

图1 术前妇科超声检查图注：A 双角子宫； B 左侧宫颈管积液44 mm×12 mm。

图2 术前宫腔镜检查图

图3 术前盆腔MRI图像注：A双角子宫、双宫颈；B左侧宫颈相连的阴道上1/3段积血。

图4 手绘模式图

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