儿科患者的子宫阴道异常
Uterovaginal Anomalies in Pediatric Patients.
作者信息
Saiad Mohamed Oulad, Foura Salma
机构信息
Department of General Pediatric Surgery, Mother and Child Unit, Mohammed VI University Hospital, Cadi Ayyad University, Marrakesh, Morocco.
出版信息
J Indian Assoc Pediatr Surg. 2025 Mar-Apr;30(2):148-154. doi: 10.4103/jiaps.jiaps_71_24. Epub 2025 Mar 3.
BACKGROUND
Uterovaginal anomalies are relatively common congenital disorders whose diagnosis at a young age is important but often difficult. For proper management, the physician requires a thorough understanding of normal embryology and sexual differentiation.
OBJECTIVES
This report provide an overview of the various abnormalities encountered and guide the clinician by providing an approach to management.
MATERIALS AND METHODS
Our series is a retrospective of 14 adolescents with uterovaginal malformations. This review discusses the current diagnosis, management, and outcomes of their uterovaginal anomalies.
RESULTS
Of the 14 patients, 7 had an imperforate hymen, 2 patients had a Transverse vaginal septum, 2 patients had a didelphys uterus with blind hemivagina, 3 patients had a high vaginal atresia.
CONCLUSION
Genital malformations can be particularly disturbing to the patient and her family because they not only have reproductive implications but also significant psychological and sexual overtones that need to be addressed and dealt with in a sensitive and reassuring manner.
背景
子宫阴道畸形是相对常见的先天性疾病，在年轻时进行诊断很重要，但往往很困难。为了进行恰当的治疗，医生需要全面了解正常胚胎学和性分化。
目的
本报告概述了所遇到的各种异常情况，并通过提供一种治疗方法来指导临床医生。
材料与方法
我们的系列研究是对14例子宫阴道畸形青少年患者的回顾性研究。本综述讨论了他们子宫阴道畸形的当前诊断、治疗及结果。
结果
14例患者中，7例为处女膜闭锁，2例为阴道横隔，2例为双子宫伴盲端半阴道，3例为高位阴道闭锁。
结论
生殖器畸形可能会给患者及其家庭带来特别大的困扰，因为它们不仅对生殖有影响，还具有重大的心理和性方面的影响，需要以敏感且能让人安心的方式加以解决和处理。
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