Liu Xiaotong, Zhang Xuyin, Hua Keqin
Department of Gynecology, Obstetrics and Gynecology Hospital of Fudan University, Shanghai, China.
Gynecol Minim Invasive Ther. 2025 May 22;14(2):182-184. doi: 10.4103/gmit.gmit_63_24. eCollection 2025 Apr-Jun.
Congenital cervical and vaginal atresia in the presence of a functioning endometrium is an extremely rare disease. Cervicovaginal reconstruction preserves fertility for these patients. We present the case of a 20-year-old patient who had cervicovaginal reconstruction 7 years ago due to congenital cervical and vaginal aplasia. However, with the cervical catheter falling off this year, this patient had severe dysmenorrhea and was diagnosed with cervical restenosis. Finally, this patient was successfully treated with laparoscopic cervical reconstruction. Restoring the continuity of uterus-cervix-vagina for cervical restenosis after cervicovaginal reconstruction is feasible. After cervicovaginal reconstruction, the placement time of the cervical catheter should be extended appropriately to avoid cervical restenosis.
在存在功能正常的子宫内膜的情况下,先天性宫颈和阴道闭锁是一种极其罕见的疾病。宫颈阴道重建术可保留这些患者的生育能力。我们报告一例20岁患者的病例,该患者7年前因先天性宫颈和阴道发育不全接受了宫颈阴道重建术。然而,今年宫颈导管脱落,该患者出现严重痛经,并被诊断为宫颈再狭窄。最终,该患者通过腹腔镜宫颈重建术成功治愈。对于宫颈阴道重建术后宫颈再狭窄,恢复子宫-宫颈-阴道的连续性是可行的。宫颈阴道重建术后,应适当延长宫颈导管的放置时间,以避免宫颈再狭窄。