经阴道镜切除术治疗阴道横隔：处女膜保留技术

Scutiero Gennaro, Greco Pantaleo, Iannone Piergiorgio, Bernardi Giulia, Greco Francesca, Nappi Luigi

Department of Morphology, Surgery and Experimental Medicine, Section of Obstetrics and Gynecology, University of Ferrara, Azienda Ospedaliero-Universitaria S. Anna, Cona, Ferrara, Italy.

Department of Medical and Surgical Sciences, Institute of Obstetrics and Gynecology, University of Foggia, Foggia, Italy.

Rev Bras Ginecol Obstet. 2018 Oct;40(10):642-646. doi: 10.1055/s-0038-1670714. Epub 2018 Oct 23.

Transverse vaginal septum is a rare female genital tract anomaly, and little is described about its surgical treatment. We report the case of a patient who wished to preserve hymenal integrity due to social and cultural beliefs. We performed a vaginoscopic resection of the septum under laparoscopic view, followed by the introduction of a Foley catheter in the vagina, thus preserving the hymen. After 12 months of follow-up, no septal closure was present, and the menstrual flow was effective. Vaginoscopic hysteroscopy is an effective method of vaginal septum resection, even in cases in which hymenal integrity must be preserved due to social and cultural beliefs.

阴道横隔是一种罕见的女性生殖道畸形，关于其手术治疗的描述较少。我们报告了一例因社会和文化信仰希望保留处女膜完整性的患者。我们在腹腔镜观察下经阴道镜切除横隔，随后在阴道内放置一根Foley导管，从而保留了处女膜。经过12个月的随访，横隔未再闭合，月经血排出顺畅。即使在因社会和文化信仰必须保留处女膜完整性的情况下，经阴道镜宫腔镜检查也是切除阴道横隔的有效方法。