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[先天性膀胱子宫瘘合并阴道闭锁伴子宫颈外露及右肾发育不全1例报告]

[Report of a case of congenital vesico-uterine fistula with vaginal atresia associated with an exterior uterine cervix and agenesis of the right kidney].

作者信息

Daskalov I, Sahpazov M

出版信息

Jugosl Ginekol Opstet. 1982 May-Aug;22(3-4):78-81.

PMID:7162202
Abstract

In a 27-year-old patient with cyclic hematuria a complex congenital malformation was diagnosed: the atresia of the upper third of the vagina and the external uterine cervix, a vesico-uterine fistula, and agenesis of the right kidney. The patient was treated surgically in two phases: first, the vesico-uterine fistula was closed abdominally and then, vaginally, the cervix was lowered down to its normal anatomic site and the external cervical orifice was opened. The postoperative course was normal and the patient was discharged from hospital 20 days after surgery. After 2 months the findings of the follow-up examination were normal, and so were the menstrual cycle and urination.

摘要

在一名27岁周期性血尿患者中,诊断出一种复杂的先天性畸形:阴道上三分之一和子宫颈外口闭锁、膀胱子宫瘘以及右肾发育不全。患者分两期接受手术治疗:首先,经腹部封闭膀胱子宫瘘,然后经阴道将子宫颈下移至其正常解剖位置并打开子宫颈外口。术后过程正常,患者术后20天出院。2个月后随访检查结果正常,月经周期和排尿情况也正常。

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