Alchihabi N, Pintér A
Pécsi Orvostudományi Egyetem, Gyermekgyógyászati Klinika.
Orv Hetil. 1993 Apr 4;134(14):737-42.
In the past 15 years five neonates and children have been treated for high vaginal atresia at the Surgical Unit of Department of Pediatrics, University Medical School, Pécs, Hungary. In three of the six patients distal atresia of the vagina was found (Type III). Two of the three were neonates and had a large hydrometrocolpos and the third, a 13-year-old girl, hematometrocolpos. In the fourth patient the vaginal atresia was associated with cloacal and anorectal malformation (Type V). In the fifth there was a duplication of uterus and vagina; however, only one of the two vaginas was atretic. In three patients a pull-through of the vagina was carried out, in one of them according to Pena, in another a transvesical approach, as suggested by Monfort, was used. Following repeated surgeries in the patient with cloacal malformation the vagina was replaced with large intestine. In the case of duplication of vagina and uterus one half of the duplication was removed.
在过去15年里，匈牙利佩奇大学医学院儿科外科收治了5例患有高位阴道闭锁的新生儿和儿童。在这6例患者中，有3例发现阴道远端闭锁（III型）。其中2例为新生儿，患有巨大阴道积血积脓，第3例是一名13岁女孩，患有阴道积血。第4例患者的阴道闭锁合并泄殖腔和肛门直肠畸形（V型）。第5例患者存在子宫和阴道重复畸形；然而，两个阴道中只有一个闭锁。3例患者进行了阴道拖出术，其中1例按照佩纳的方法进行，另1例采用了蒙福特建议的经膀胱入路。泄殖腔畸形患者经过多次手术后，用大肠替代了阴道。对于阴道和子宫重复畸形的病例，切除了重复部分的一半。
