Jacob J H, Griffin W T
Department of Obstetrics & Gynecology, University of Missouri School of Medicine, Columbia 65212.
Obstet Gynecol Surv. 1989 Jul;44(7):556-69. doi: 10.1097/00006254-198907000-00011.
Two patients diagnosed at the University of Missouri Hospital underwent reconstructive surgery utilizing the atretic cervix as a conduit for the formation of an endometrial-vaginal fistula. A total of three surgeries was performed with both patients experiencing the onset of cyclic menses. One patient, followed for 22 years, never attempted to conceive and eventually succumbed to hysterectomy for pelvic pain and endometriosis. The other has been followed for 44 months and continues to have regular menses with mild dysmenorrhea. Less than 50 cases of congenital cervical atresia have been reported in the literature. The operative procedures and literature experience are provided.
两名在密苏里大学医院确诊的患者接受了重建手术，利用闭锁的宫颈作为形成子宫内膜 - 阴道瘘的通道。总共进行了三次手术，两名患者均出现了周期性月经。一名患者随访了22年，从未尝试怀孕，最终因盆腔疼痛和子宫内膜异位症接受了子宫切除术。另一名患者已随访44个月，月经仍规律，伴有轻度痛经。文献报道的先天性宫颈闭锁病例少于50例。本文提供了手术步骤及文献经验。
