Fritzsche R, Beller F K
Geburtshilfe Frauenheilkd. 1976 Jun;36(6):524-9.
A case of aplasia of the uterine cervix and partial atresia of the vagina in a 17 year old woman is reported. A hysterectomy was done and a new vagina created. The literature on the origin of the different parts of the female genital tract is reviewed and discussed. Interpretation of the embryologic origin of the different parts is difficult. The indication for the hysterectomy was prevention of further endometriosis by retrograde menstruation, high probability of infertility because of the lack of the cervix and high probability of ascending infection should a new vagina be connected directly to the endometrial cavity. The case is presented to generate discussion on the management of cervical aplasia.
报告了一名17岁女性宫颈发育不全及部分阴道闭锁的病例。实施了子宫切除术并创建了新阴道。对女性生殖道不同部位的起源文献进行了综述和讨论。对不同部位胚胎学起源的解释很困难。子宫切除术的指征是预防逆行月经导致进一步的子宫内膜异位症、因宫颈缺失导致的高不孕概率以及若新阴道直接与子宫内膜腔相连则有上行感染的高概率。呈现该病例以引发关于宫颈发育不全治疗的讨论。
