Gurbuz Ayse, Karateke Ates, Haliloglu Berna
Gynecologic Oncology and Pelvic Reconstructive Surgery Unit, Zeynep Kamil Women's and Children Hospital, Uskudar, Istanbul, Turkey.
Fertil Steril. 2005 Jul;84(1):217. doi: 10.1016/j.fertnstert.2005.01.112.
To construct a uterovaginal canal in a patient with a complete cervical agenesis and partial vaginal agenesis.
Case report.
Zeynep Kamil Women's and Children Hospital.
PATIENT(S): A 15-year-old woman presented with lower abdominal pain. On examination, partial vaginal agenesis with a 4-cm vagina was noted. A pelvic ultrasonography revealed hematometra and the absence of a cervix.
INTERVENTION(S): Surgical therapy included creation of an ostium by making 1.5-cm midline vertical hysterotomy incision, trimming away the fibrous tissue at the distal portion of uterus, and attaching the proximal end of the vagina to the uterus by the abdominal route. A stent was left in place for 2 weeks.
MAIN OUTCOME MEASURE(S): Pelvic ultrasonography and clinical follow-up evaluation.
RESULT(S): Regular menstrual periods were observed for 6 months beginning at the first month. The follow-up pelvic ultrasonography was normal.
CONCLUSION(S): Cervicoplasty attaching the mucosal lining of the endometrium to that of the vagina permits the creation of a patent cervical canal with short stenting time.
为一名完全性宫颈闭锁和部分阴道闭锁患者构建子宫阴道管。
病例报告。
泽伊内普·卡米尔妇女儿童医院。
一名15岁女性，因下腹部疼痛就诊。检查发现部分阴道闭锁，阴道长度为4厘米。盆腔超声检查显示子宫积血且无宫颈。
手术治疗包括经腹在子宫中线做1.5厘米垂直子宫切开术切口造口，切除子宫远端的纤维组织，并将阴道近端经腹与子宫相连。留置支架2周。
盆腔超声检查和临床随访评估。
自第一个月起观察到规律月经6个月。随访盆腔超声检查正常。
将子宫内膜黏膜与阴道黏膜相连的宫颈成形术可在短时间留置支架的情况下创建通畅的宫颈管。
