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有功能子宫的阴道发育不全的管理。子宫切除术是否可取?

Management of vaginal agenesis with a functioning uterus. Is hysterectomy advisable?

作者信息

Fliegner J R, Pepperell R J

机构信息

Department of Obstetrics and Gynaecology, University of Melbourne.

出版信息

Aust N Z J Obstet Gynaecol. 1994 Aug;34(4):467-70. doi: 10.1111/j.1479-828x.1994.tb01273.x.

DOI:10.1111/j.1479-828x.1994.tb01273.x
PMID:7848243
Abstract

Cryptomenorrhoea associated with vaginal agenesis is uncommon. However, when laparoscopy or ultrasound reveal the uterus to be present early laparotomy is mandatory unless there is clear evidence of haematocolpos, in order to define the cervix and undertake reconstructive surgery. Once a uterovaginal tract has been established prolonged use of a mould is necessary to maintain patency of the neovagina. If the cervix is absent or atretic then immediate hysterectomy is required.

摘要

与阴道发育不全相关的隐经并不常见。然而,当腹腔镜检查或超声显示子宫存在时,除非有明确的阴道积血证据,否则必须尽早进行剖腹手术,以便确定宫颈并进行重建手术。一旦建立了子宫阴道通道,就需要长期使用模具来维持新阴道的通畅。如果宫颈缺失或闭锁,则需要立即进行子宫切除术。

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