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腹腔镜下Davydov阴道成形术治疗1例苗勒管发育不全综合征(MRKH综合征)

Laparoscopic Davydov's Colpopoiesis for a Case of Mayer-Rokitansky-Kuster-Hauser (MRKH) Syndrome.

作者信息

Samantray Subha R, Mohapatra Ipsita, Harshini Nikku

机构信息

Obstetrics and Gynecology, All India Institute of Medical Sciences, Kalyani, Kalyani, IND.

Obstetrics and Gynaecology, Prathima Institute of Medical Sciences, Karimnagar, IND.

出版信息

Cureus. 2021 Mar 18;13(3):e13974. doi: 10.7759/cureus.13974.

Abstract

Congenital absence of vagina and uterus has been eponymously called Mayer-Rokitansky-Kuster-Hauser (MRKH) syndrome. The vagina may appear as a dimple with the presence of rudimentary uterine primordia and normal functioning ovaries. Its incidence is 1 in 4500 to 5000 female. Patients present with primary amenorrhea, normal external genitalia, and well-developed secondary sexual characteristics. Davydov's colpopoiesis is one of the methods of vaginoplasty using the patient's own peritoneum as a graft to line the neovagina. We present here a case of MRKH Syndrome where a laparoscopic Davydov procedure was chosen for vaginal reconstruction.

摘要

先天性无阴道和子宫被命名为梅耶-罗基坦斯基-库斯特-豪泽(MRKH)综合征。阴道可能表现为一个凹坑,存在子宫始基残迹且卵巢功能正常。其发病率为每4500至5000名女性中有1例。患者表现为原发性闭经、外生殖器正常以及第二性征发育良好。达维多夫阴道成形术是阴道成形术的一种方法,使用患者自身的腹膜作为移植物来衬里新阴道。我们在此呈现一例MRKH综合征病例,该病例选择了腹腔镜下的达维多夫手术进行阴道重建。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3dab/8054835/652abc25022e/cureus-0013-00000013974-i01.jpg

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