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[阴道上段横隔与妊娠]

[Transverse vaginal septum in the upper part of the vagina and pregnancy].

作者信息

Bautista Gómez Esperanza, Morales-García Victor, Flores-Romero Ana Luisa, Pizarro Osorno Noel, Velásquez-Valdivia Abner

机构信息

Uroginecóloga Clinica Naissance Oaxaca, México.

出版信息

Ginecol Obstet Mex. 2012 Jul;80(7):487-90.

Abstract

Transverse vaginal septum is a congenital Mullerian malformation resulting from a failure of the fusion or canalization of the urogenital sinus and the Müllerian ducts. It may cause hematocolpos, dyspareunia and infertility in adult patients. In some cases, it is associated with congenital malformations such as coarctation of the aorta or atrial septal defects. A case of a transverse vaginal septum identified during a vaginal check-up of a 39-week pregnant patient during labour is reported. A cesarean surgery was performed with no complications. Septal defect was diagnosed due to heart murmur. It was decided to treat the transverse vaginal septum as soon as the puerperium was over. The patient left the hospital after proper response to treatment.

摘要

阴道横隔是一种先天性苗勒管畸形,由泌尿生殖窦与苗勒管融合或管道化失败所致。成年患者可能会出现阴道积血、性交困难和不孕。在某些情况下,它与先天性畸形如主动脉缩窄或房间隔缺损有关。本文报道了一例在孕39周产妇分娩时进行阴道检查时发现阴道横隔的病例。进行了剖宫产手术,无并发症。因心脏杂音诊断出间隔缺损。决定在产褥期结束后尽快治疗阴道横隔。患者在对治疗有适当反应后出院。

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