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一种针对子宫体发育良好的II型阴道闭锁患者的创新且有效的宫颈管穿刺方法：病例系列

An innovative and effective approach of cervical canal penetration in patients diagnosed with type II vaginal atresia with adequate uterine corpus development: A case series.

作者信息

Xue Lujie, Zhang Lu, Sun Chenyang, Yang Xiaomei, Li Bin, Liu Li, Jiang Xiangyang, Chen Lihong

机构信息

Department of Gynecology, Shaanxi Provincial People's Hospital, Xi'an, China.

Department of Ultrasonography, Shaanxi Provincial People's Hospital, Xi'an, China.

出版信息

Curr Urol. 2025 Mar;19(2):138-143. doi: 10.1097/CU9.0000000000000253. Epub 2024 Jul 19.

DOI:10.1097/CU9.0000000000000253
PMID:40314010
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12042183/
Abstract

We introduced our experience for an innovative and effective approach for cervical canal penetration in patients diagnosed with type II vaginal atresia with adequate uterine corpus development. The uterine cavity and neovagina was connected through the puncture set for percutaneous nephrostomy while maintaining the integrity of the uterus and cervix under laparoscopic and transvaginal ultrasound monitoring. A porcine small intestine submucosal graft was fitted into the artificial vaginal wall. There were few side effects and no obvious sequelae.

摘要

我们介绍了一种创新且有效的方法，用于诊断为II型阴道闭锁且子宫体发育良好的患者的宫颈管贯通术。在腹腔镜和经阴道超声监测下，通过经皮肾造瘘穿刺套件连接子宫腔和新阴道，同时保持子宫和宫颈的完整性。将猪小肠黏膜下层移植物植入人工阴道壁。副作用少，无明显后遗症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cab8/12042183/bd5005d03af2/curr-urol-19-138-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cab8/12042183/d15aa3666977/curr-urol-19-138-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cab8/12042183/a906f12e40ed/curr-urol-19-138-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cab8/12042183/cf05b107ab87/curr-urol-19-138-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cab8/12042183/bd5005d03af2/curr-urol-19-138-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cab8/12042183/d15aa3666977/curr-urol-19-138-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cab8/12042183/a906f12e40ed/curr-urol-19-138-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cab8/12042183/cf05b107ab87/curr-urol-19-138-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cab8/12042183/bd5005d03af2/curr-urol-19-138-g004.jpg

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本文引用的文献

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One case report of laparoscopic biological patch repair for the ureterosciatic hernia and literature review.腹腔镜生物补片修补坐骨疝1例报告并文献复习
Heliyon. 2022 Sep 1;8(9):e10488. doi: 10.1016/j.heliyon.2022.e10488. eCollection 2022 Sep.
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Minimally invasive vaginal approach to the uterovestibular anastomosis for cervicovaginal aplasia: a case series and review of literature.经阴道微创入路行子宫-阴道前庭吻合术治疗宫颈阴道发育不全：病例系列研究及文献复习。
Arch Gynecol Obstet. 2023 Jul;308(1):25-34. doi: 10.1007/s00404-022-06708-9. Epub 2022 Jul 21.
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Successful laparoscopic sigmoid transposition for cervicovaginal agenesis in the presence of a functioning uterus: A case series.
Int J Gynaecol Obstet. 2023 Jan;160(1):271-279. doi: 10.1002/ijgo.14342. Epub 2022 Jul 24.
4
The surgical strategies of vaginoplasty for vaginal agenesis patients with or without functional uterus.阴道成形术治疗有或无功能性子宫的阴道发育不全患者的手术策略。
J Plast Reconstr Aesthet Surg. 2022 Jun;75(6):1964-1970. doi: 10.1016/j.bjps.2022.01.019. Epub 2022 Jan 22.
5
Secondary pyosalpinx after reconstructive surgery of vaginal agenesis patient with bilateral hematosalpinx: A case report.阴道闭锁患者双侧输卵管积血重建手术后继发输卵管积脓：一例报告
Int J Surg Case Rep. 2021 Aug;85:106166. doi: 10.1016/j.ijscr.2021.106166. Epub 2021 Jul 2.
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Novel Method of Cervicoplasty Using Autologous Peritoneum for Cervicovaginal Atresia.采用自体腹膜治疗宫颈阴道闭锁的新型宫颈成形术方法。
Surg J (N Y). 2020 Feb 11;6(1):e28-e32. doi: 10.1055/s-0040-1701213. eCollection 2020 Jan.
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Eur J Obstet Gynecol Reprod Biol. 2017 Oct;217:167-172. doi: 10.1016/j.ejogrb.2017.08.016. Epub 2017 Aug 18.
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