Bates G W, Wiser W L
Obstet Gynecol. 1985 Aug;66(2):290-4.
Vaginal agenesis in association with a functional uterus occurs infrequently, and usually presents in adolescents. To preserve reproductive function, the uterus must be conserved, and a vagina must be constructed in one operative procedure. The authors describe a surgical technique that combines a modified McIndoe vaginoplasty with uterine conservation in which a special stent is fabricated to insert in the uterine cervix and the neovagina. Factors that must be considered when choosing between a hysterectomy and a uterine conservation procedure also are discussed.
阴道发育不全合并功能性子宫的情况较为罕见,通常发生在青少年时期。为保留生殖功能,必须保留子宫,并在一次手术中构建阴道。作者描述了一种手术技术,该技术将改良的麦金杜阴道成形术与子宫保留相结合,其中制作了一种特殊的支架插入子宫颈和新阴道。文中还讨论了在子宫切除术和子宫保留手术之间进行选择时必须考虑的因素。