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双子宫伴双重复上阴道及双侧下阴道闭锁:一种新型苗勒管异常及其手术治疗方案

Uterine didelphys with duplicated upper vagina and bilateral lower vaginal agenesis: a novel Müllerian anomaly with options for surgical management.

作者信息

Growdon Whitfield B, Laufer Marc R

机构信息

Division of Gynecology, Department of Surgery, Children's Hospital Boston, Massachusetts 02115, USA.

出版信息

Fertil Steril. 2008 Mar;89(3):693-8. doi: 10.1016/j.fertnstert.2007.03.062. Epub 2007 Aug 2.

DOI:10.1016/j.fertnstert.2007.03.062
PMID:17678652
Abstract

OBJECTIVE

To describe a novel Müllerian anomaly and management options.

DESIGN

Case series report.

SETTING

Metropolitan tertiary care children's hospital.

PATIENT(S): Three caucasian girls, aged 12, 13, and 15 years, with a novel congenital anomaly.

INTERVENTION(S): Interval staged vaginoplasties.

MAIN OUTCOME MEASURE(S): Functional vagina.

RESULT(S): Didelphys Müllerian development with vaginal duplication and agenesis of both lower vaginas with staged vaginoplasties resulting in normal functional vaginas.

CONCLUSION(S): Staged pull-through vaginoplasties led to functional outcome in this unusual anomaly.

摘要

目的

描述一种新型苗勒管异常及其处理方法。

设计

病例系列报告。

地点

大都市三级护理儿童医院。

患者

三名白种女孩,年龄分别为12岁、13岁和15岁,患有新型先天性异常。

干预措施

分期进行阴道成形术。

主要观察指标

功能性阴道。

结果

双子宫苗勒管发育,阴道重复畸形,双侧下段阴道发育不全,分期阴道成形术使阴道功能恢复正常。

结论

分期拖出式阴道成形术对这种罕见异常情况产生了功能性效果。

相似文献

1
Uterine didelphys with duplicated upper vagina and bilateral lower vaginal agenesis: a novel Müllerian anomaly with options for surgical management.双子宫伴双重复上阴道及双侧下阴道闭锁:一种新型苗勒管异常及其手术治疗方案
Fertil Steril. 2008 Mar;89(3):693-8. doi: 10.1016/j.fertnstert.2007.03.062. Epub 2007 Aug 2.
2
Uterus didelphys with partial vaginal septum and distal vaginal agenesis: an unusual anomaly.双子宫伴部分阴道纵隔及阴道远端闭锁:一种罕见的异常情况。
J Coll Physicians Surg Pak. 2013 Feb;23(2):149-51.
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A normal uterus communicating with a double cervix and the vagina: a müllerian anomaly without any present classification.一个正常子宫与双宫颈及阴道相通:一种未被现有任何分类涵盖的苗勒管异常。
Fertil Steril. 2009 Mar;91(3):935.e1-3. doi: 10.1016/j.fertnstert.2008.09.042. Epub 2008 Nov 11.
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Septate uterus with cervical duplication and a longitudinal vaginal septum: a müllerian anomaly without a classification.伴有宫颈重复及阴道纵隔的纵隔子宫:一种无分类的苗勒管异常。
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Müllerian anomalies "without a classification": from the didelphys-unicollis uterus to the bicervical uterus with or without septate vagina.“未分类”的苗勒管异常:从双子宫单宫颈到有或无纵隔阴道的双宫颈子宫。
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Perforated transverse vaginal septum: a rare case of müllerian duct anomaly presenting only primary infertility.穿孔性阴道横隔:一种仅表现为原发性不孕的罕见苗勒管异常病例。
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A simplified novel laparoscopic formation of neovagina for cases of Mayer-Rokitansky-Küster-Hauser syndrome.一种用于先天性无阴道综合征病例的简化新型腹腔镜下新阴道成形术。
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Double vagina and cervix communicating bilaterally with a single uterine cavity: report of a case with an unusual congenital uterine malformation.双阴道、双宫颈且双侧与单一子宫腔相通:一例罕见先天性子宫畸形病例报告
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Unification and orificing of two functional noncommunicating uterine horns through the created neovagina using peritoneum.利用腹膜将两个功能性不连通的子宫角融合并通入新阴道。
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Mayer-Rokitansky-Kuster-Hauser (MRKH) syndrome with a single septate uterus: a novel anomaly and description of treatment options.伴有单子宫纵隔的 Mayer-Rokitansky-Kuster-Hauser(MRKH)综合征:一种新型异常及治疗选择描述
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引用本文的文献

1
Vaginal atresia and cervical agenesis combined with asymmetric septate uterus: A case report of a new genital malformation and literature review.阴道闭锁和宫颈发育不全合并不对称纵隔子宫:一种新型生殖器畸形病例报告及文献综述
Medicine (Baltimore). 2018 Jan;97(3):e9674. doi: 10.1097/MD.0000000000009674.
2
The comprehensiveness of the ESHRE/ESGE classification of female genital tract congenital anomalies: a systematic review of cases not classified by the AFS system.欧洲人类生殖与胚胎学会/欧洲妇科内镜学会女性生殖道先天性异常分类的全面性:对未按美国生育学会系统分类的病例的系统评价
Hum Reprod. 2015 May;30(5):1046-58. doi: 10.1093/humrep/dev061. Epub 2015 Mar 18.
3
Clinical approach for the classification of congenital uterine malformations.
先天性子宫畸形分类的临床方法
Gynecol Surg. 2012 May;9(2):119-129. doi: 10.1007/s10397-011-0724-2. Epub 2012 Mar 10.