Adelusi A, Akande E O, Onifade A
Department of Obstetrics and Gynaecology, University College Hospital, Ibadan, Nigeria.
Niger Med J. 1976 Apr;6(2):198-200.
Acquired atresia of the vagina is much less common than the congenital type, but more frequent in the tropics than in the developed countries (Lawson and Stewart, 1967). This is because most of the causes which include chemical vaginitis (Frith, 1960), female circumcision (Mustafa, 1966) and birth injuries (Lawson and Stewart, 1967) are largely confined to the tropics, due to poverty, ignorance and lack of good medical facilities. In the developed parts of the world, acquired gynatresia is rare, and perhaps follow mainly colporrhaphies and intra-vaginal irradiation from treatment of pelvic malignancies, (Patterson and Rhodes 1958, Whitely, 1964). In Ibadan, Nigeria, however, by far the commonest cause of vaginal atresia is chemical vaginitis from vaginal insertion of local caustic pessaries, for the treatment of certain gynaecological problems. This paper is, therefore, designed to highlight the clinical presentation of acquired gynaetresia as seen in Ibadan with particular emphasis on its incidence, causation, symptomatology and operative management.
后天性阴道闭锁比先天性阴道闭锁少见得多，但在热带地区比在发达国家更常见（劳森和斯图尔特，1967年）。这是因为包括化学性阴道炎（弗里思，1960年）、女性割礼（穆斯塔法，1966年）和分娩损伤（劳森和斯图尔特，1967年）在内的大多数病因主要局限于热带地区，这是由于贫困、无知和缺乏良好的医疗设施所致。在世界发达地区，后天性阴道闭锁很少见，可能主要继发于阴道缝合术和盆腔恶性肿瘤治疗后的阴道内照射（帕特森和罗兹，1958年；怀特利，1964年）。然而，在尼日利亚伊巴丹，到目前为止，阴道闭锁最常见的原因是为治疗某些妇科问题而在阴道内放置局部腐蚀性子宫托导致的化学性阴道炎。因此，本文旨在突出在伊巴丹所见的后天性阴道闭锁的临床表现，特别强调其发病率、病因、症状和手术治疗。
