Sereno J A
Hospital General Dr. Miguel Silva, S.S.A. Morelia, Mich.
Ginecol Obstet Mex. 1993 Jul;61:190-4.
Congenital absence of the vagina depends on partial or complete failure of Müllerian duct development. The ovaries develop normally and the fimbrial ends of the tubes are vestigial but there is no uterus, cervix or vagina. The urinary and genital systems and some skeletal portions developing from Müllerian ducts are so closely linked embryologically that congenital abnormality of kidney and bones is said to accompany genital defects in approximately 20% of cases. Several surgical techniques have been proposed but the gynecologist can have sufficient experience to choose the most suitable treatment according to the pecularities of each case. McIndoe Operation offers the best possible result opening a space between the ureta and the rectum and placing within in a large penile shaped mold draped with a split skin graft. This operation can result in a vagina that looks and feels absolutely normal but the most discouraging however is the time required for the completion of the whole treatment. There are several photos illustrating the procedure.
先天性阴道缺失取决于苗勒管发育部分或完全失败。卵巢发育正常，输卵管伞端发育不全，但没有子宫、宫颈或阴道。从苗勒管发育而来的泌尿系统、生殖系统及一些骨骼部分在胚胎学上联系紧密，以至于约20%的病例中，生殖器缺陷伴有肾脏和骨骼的先天性异常。已经提出了几种手术技术，但妇科医生要有足够经验，根据每个病例的特点选择最合适的治疗方法。麦金杜手术能取得最好的效果，即在尿道和直肠之间开辟一个空间，并在其中放置一个覆盖有裂层皮片的大型阴茎状模具。该手术可形成外观和感觉完全正常的阴道，但最令人沮丧的是整个治疗所需的时间。有几张图片展示了该手术过程。
