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先天性子宫颈缺如的一种新方法:经腹实时超声引导下门诊宫腔镜Versapoint导管插入术。

A novel approach for congenital absence of the uterine cervix: Office hysteroscopic versapoint canalization using real-time trans-abdominal sonography guidance.

作者信息

Haydardedeoğlu Bülent, Çağlar Aytaç Pınar

机构信息

Başkent University Faculty of Medicine, Department of Obstetrics and Gynecology, Division of Reproductive and Endocrinology Unit, Adana, Turkey.

出版信息

Turk J Obstet Gynecol. 2016 Mar;13(1):42-45. doi: 10.4274/tjod.59219. Epub 2016 Mar 10.

DOI:10.4274/tjod.59219
PMID:28913088
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5558355/
Abstract

Herein, we report a novel technique for cervical agenesis via office hysteroscopy using Versapoint using real-time trans-abdominal sonography guidance. Fourteen days after the canalization procedure, a second hysteroscopy was performed to remove the silicone catheter and insert a Cupper T380a intrauterine device, which aimed to prevent a neocervical canal occlusion. This is the first case report of a patient with congenital cervical agenesis undergoing canalization with Versapoint in an office hysteroscopy; laparoscopy was not performed for assistance.

摘要

在此,我们报告一种通过门诊宫腔镜使用Versapoint并在实时经腹超声引导下治疗宫颈闭锁的新技术。在进行宫颈管疏通术后14天,进行了第二次宫腔镜检查,以取出硅胶导管并插入一枚T380a铜宫内节育器,目的是防止新形成的宫颈管闭塞。这是首例先天性宫颈闭锁患者在门诊宫腔镜检查中使用Versapoint进行宫颈管疏通的病例报告;未进行腹腔镜辅助。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a5c/5558355/e2f9d85c5802/TJOD-13-42-g3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a5c/5558355/fa2e1893194d/TJOD-13-42-g1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a5c/5558355/b821463b1c72/TJOD-13-42-g2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a5c/5558355/e2f9d85c5802/TJOD-13-42-g3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a5c/5558355/fa2e1893194d/TJOD-13-42-g1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a5c/5558355/b821463b1c72/TJOD-13-42-g2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a5c/5558355/e2f9d85c5802/TJOD-13-42-g3.jpg

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1
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本文引用的文献

1
Laparoscopically assisted biomaterial graft for reconstruction in congenital atresia of vagina and cervix.腹腔镜辅助生物材料移植物在先天性阴道和宫颈闭锁中的重建。
Fertil Steril. 2013 Dec;100(6):1784-7. doi: 10.1016/j.fertnstert.2013.08.046. Epub 2013 Sep 29.
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Laparoscopic-assisted uterovaginal anastomosis in congenital atresia of uterine cervix: follow-up study.腹腔镜辅助下先天性宫颈闭锁的子宫-阴道吻合术:随访研究。
J Minim Invasive Gynecol. 2012 Jul-Aug;19(4):477-84. doi: 10.1016/j.jmig.2012.03.017.
3
Ultrasound is the optimal choice for guidance in difficult hysteroscopy.
超声检查是困难宫腔镜检查中引导的最佳选择。
Ultrasound Obstet Gynecol. 2012 Jun;39(6):715-8. doi: 10.1002/uog.11072.
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A novel approach to cervical reconstruction using vaginal mucosa-lined polytetrafluoroethylene graft in congenital agenesis of the cervix.应用阴道黏膜衬里聚四氟乙烯移植物行先天性宫颈发育不全的宫颈重建术
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Congenital anomalies of the uterine cervix: lessons from 30 cases managed clinically by a common protocol.先天性宫颈畸形:30 例临床管理中采用通用方案的经验教训。
Fertil Steril. 2010 Oct;94(5):1858-63. doi: 10.1016/j.fertnstert.2009.10.024. Epub 2009 Nov 25.
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Resectoscope or Versapoint for hysteroscopic metroplasty.用于宫腔镜子宫成形术的电切镜或Versapoint(一种设备名称,可音译为“维萨波因特”)
Int J Gynaecol Obstet. 2008 Apr;101(1):39-42. doi: 10.1016/j.ijgo.2007.10.013. Epub 2008 Feb 20.
7
Effects of a surgical treatment of congenital cervicovaginal agenesia.先天性宫颈阴道发育不全的外科治疗效果
J Pediatr Adolesc Gynecol. 2004 Oct;17(5):327-30. doi: 10.1016/j.jpag.2004.07.007.
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Congenital malformations of the genital tract and their management.
Best Pract Res Clin Obstet Gynaecol. 2003 Feb;17(1):19-40. doi: 10.1053/ybeog.2003.0356.
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Management of missed abortion in a patient with congenital cervical atresia.先天性宫颈闭锁患者稽留流产的处理
Fertil Steril. 2002 May;77(5):1071-3. doi: 10.1016/s0015-0282(02)03067-4.
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Congenital cervical atresia: report of seven cases and review of the literature.先天性宫颈闭锁:7例报告并文献复习
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