Kobayashi Asami, Fukui Atsushi, Funamizu Ayano, Ito Asami, Fukuhara Rie, Mizunuma Hideki
Department of Obstetrics and Gynecology, Hirosaki University Graduate School of Medicine, Hirosaki, Aomori, Japan.
Gynecol Minim Invasive Ther. 2017 Jan-Mar;6(1):31-33. doi: 10.1016/j.gmit.2016.05.001. Epub 2016 Jun 7.
Cervical atresia is a Müllerian duct system anomaly, and it is often associated with vaginal aplasia. We report the case of a 17-year-old girl who presented with primary amenorrhea and cyclical abdominal pain, and was diagnosed with cervical atresia and vaginal aplasia that were treated laparoscopically. Laparoscopically assisted cervical canalization and neovaginoplasty were performed to relieve dysmenorrhea and allow for sexual intercourse and fertility. We did not use a bowel segment, skin, or peritoneum as a graft for the neovaginoplasty. To prevent adhesions and promote epithelialization, we used an estrogen-containing cream. Moreover, we did not use a vaginal mold. The patient is free of cervical stenosis and able to have intercourse. Long-term follow-up is necessary to ensure a future pregnancy and childbirth.
宫颈闭锁是苗勒管系统异常，常与阴道发育不全相关。我们报告一例17岁女孩，她因原发性闭经和周期性腹痛就诊，被诊断为宫颈闭锁和阴道发育不全，并接受了腹腔镜治疗。实施了腹腔镜辅助宫颈管成形术和新阴道成形术以缓解痛经，实现性交和生育功能。新阴道成形术未使用肠段、皮肤或腹膜作为移植物。为防止粘连和促进上皮形成，我们使用了含雌激素的乳膏。此外，我们未使用阴道模具。患者无宫颈狭窄且能够进行性交。需要长期随访以确保未来能够妊娠和分娩。
