Haddad B, Barranger E, Paniel B J
Service de Gynécologie-Obstétrique, CHI Créteil, 40 avenue de Verdun, 94010 Créteil, France.
Hum Reprod. 1999 Aug;14(8):1962-4. doi: 10.1093/humrep/14.8.1962.
Our purpose was to analyse the reproductive performance of women with obstructed hemivagina after surgical treatment. After laparoscopic exploration of 42 cases (mean age: 18 years), didelphic and complete septate uterus were found in 78 and 22% of cases respectively. Resection of vaginal septum and hemihysterectomy with ipsilateral hemicolpectomy were performed in 88% and 12% of the cases, respectively, between 1970 and 1997. Long-term results were assessed by a questionnaire and obtained for 38 patients (mean years after treatment and range: 6.5; 1-23). Dysmenorrhoea and abdominal pain were resolved in 87% and 100% of the cases, respectively. Nine patients experienced 20 pregnancies (13 living children, four early spontaneous abortions, two early terminations and one ectopic pregnancy). Nine offspring (69% of live births) were delivered after 37 weeks. Four patients had four pregnancies ipsilateral to blind hemivagina after vaginal septum resection (two living children, one early spontaneous abortion and one ectopic pregnancy). These results suggest that laparoscopic exploration and resection of vaginal septum are the appropriate treatments for obstructed hemivagina. Subsequent reproductive performance was comparable to that reported following treatment of the associated uterine malformation.
我们的目的是分析手术治疗后阴道半梗阻妇女的生殖性能。在对42例患者（平均年龄：18岁）进行腹腔镜探查后，分别在78%和22%的病例中发现双子宫和完全纵隔子宫。在1970年至1997年期间，分别有88%和12%的病例进行了阴道纵隔切除术和同侧半结肠切除术的半子宫切除术。通过问卷调查评估长期结果，38例患者（治疗后的平均年数和范围：6.5；1 - 23）获得了结果。痛经和腹痛分别在87%和100%的病例中得到缓解。9名患者经历了20次妊娠（13名存活儿童，4次早期自然流产，2次早期终止妊娠和1次异位妊娠）。9名后代（占活产的69%）在37周后分娩。4名患者在阴道纵隔切除术后，在盲侧半阴道同侧有4次妊娠（2名存活儿童，1次早期自然流产和1次异位妊娠）。这些结果表明，腹腔镜探查和阴道纵隔切除术是治疗阴道半梗阻的合适方法。随后其生殖性能与相关子宫畸形治疗后报告的情况相当。
