Zhu Xiaogang, Xu Dabao, Allornuvor Gloria, Gao Feng, Xue Min
Department of Gynecology, Third Xiangya Hospital, Central South University, 138 Tongzipo Rd, Changsha City, Hunan Province, China.
Department of OB/GYN, Cape Coast Teaching Hospital, Cape Coast, Central Region, Ghana.
J Pediatr Adolesc Gynecol. 2015 Apr;28(2):e23-6. doi: 10.1016/j.jpag.2014.07.007. Epub 2014 Jul 25.
Congenital external cervical os stenosis, one type of congenital cervical atresia, is particularly rare, and no case has been documented so far.
A 12-year-old virginal patient with a history of mild vaginal bleeding for 14 days and lower abdominal pain for 10 days during her menarche was diagnosed with congenital external cervical os stenosis. Using a "no touch" technique, the diagnosis was further confirmed through a diagnostic hysteroscopy, and the narrow external cervical os was successfully corrected by resectoscopy, leaving the hymen intact. The patient was free of any symptoms postoperatively.
We discuss the above-mentioned case and data already published in the literature. Congenital external cervical os stenosis in non-sexually active patients can be managed by diagnostic and operative hysteroscopy using a "no touch" technique while keeping the hymen intact.
先天性宫颈外口狭窄是先天性宫颈闭锁的一种类型，极为罕见，目前尚无病例报道。
一名12岁的处女患者，初潮时出现轻度阴道出血14天及下腹痛10天，被诊断为先天性宫颈外口狭窄。采用“非接触”技术，通过诊断性宫腔镜进一步确诊，并经电切镜成功矫正狭窄的宫颈外口，同时保持处女膜完整。术后患者无任何症状。
我们讨论了上述病例及文献中已发表的数据。对于未性活跃的患者，先天性宫颈外口狭窄可通过采用“非接触”技术的诊断性和手术性宫腔镜进行处理，同时保持处女膜完整。
