Akinkugbe A
Obstet Gynecol. 1975 Sep;46(3):317-9.
Six cases of congenital vaginal atresia are described. Three of these patients had cryptomenorrhea while the other 3 had severe coital difficulties. Despite the fact that normal coitus was impossible in these 3 women, 2 of them achieved successful pregnancies and had to be delivered by emergency cesarean section followed by resection of the occluding membranes. The third patient (with dyspareunia) resorted to paraurethral coitus for more than 2 years before seeking advice. The management of vaginal atresia proved difficult because of the recurrence of stenosis at the site of the excised membrane. This was particularly marked in the young adolescent females not exposed to regular coitus. An operative method that could minimize this complication is discussed.
本文描述了6例先天性阴道闭锁的病例。其中3例患者有隐性闭经，另外3例有严重的性交困难。尽管这3名女性无法进行正常性交，但其中2例成功怀孕，不得不通过紧急剖宫产分娩，随后切除阻塞性隔膜。第三名患者（性交困难）在寻求建议之前采用尿道旁性交超过2年。由于切除隔膜部位的狭窄复发，阴道闭锁的治疗证明很困难。这在未经常性交的年轻青春期女性中尤为明显。本文讨论了一种可将这种并发症降至最低的手术方法。
