本文選題：陰道橫隔　切入點(diǎn)：疾病診斷　出處：《現(xiàn)代婦產(chǎn)科進(jìn)展》2017年01期 　論文類型：期刊論文

【摘要】：目的:探討高位不全陰道橫隔患者的臨床特征及診治方法。方法:回顧分析2011年1月至2016年1月在安徽醫(yī)科大學(xué)阜陽(yáng)臨床學(xué)院婦科及生殖科收治的7例高位不全陰道橫隔患者的臨床資料。結(jié)果:7例高位不全陰道橫隔因不孕和經(jīng)期延長(zhǎng)就診5例,2例婚后陰道異常分泌物,其中1例月經(jīng)期發(fā)熱就診,首診誤診6例。7例患者性生活正常,5例有正常月經(jīng)初潮,2例青春期無月經(jīng)而有周期性下腹痛與盆腔包塊,手術(shù)治療后始有月經(jīng)來潮。手術(shù)均順利,術(shù)后隨訪:6例月經(jīng)正常,性生活滿意,其中5例自然妊娠,孕足月經(jīng)陰道分娩,1例避孕未育;1例術(shù)后半年癥狀再發(fā),抗炎治療后癥狀緩解。結(jié)論:高位不全陰道橫隔易誤診誤治,特別對(duì)橫隔孔狹小伴發(fā)感染者,易造盆腔炎等不良后果。
[Abstract]:Objective: to investigate the clinical features, diagnosis and treatment of high position incomplete vaginal septum. Methods: from January 2011 to January 2016, 7 cases of high level vaginal septum were treated in Department of Gynecology and Genitology, Fuyang Hospital of Anhui Medical University. Results 7 cases of high position incomplete vaginal septum were treated for infertility and prolonged menstrual period in 5 cases and 2 cases of abnormal vaginal discharge after marriage. Among them, one patient was diagnosed with menstrual fever, and the first diagnosis was misdiagnosed in 6 cases with normal sexual life. 5 cases had normal menarche and menarche and 2 cases had periodic lower abdominal pain and pelvic mass without menstruation during puberty. 6 cases were followed up with normal menstruation and satisfactory sexual life after operation. Among them, 5 cases were natural pregnancy, 1 case was pregnant through vagina, 1 case had no contraception and 1 case had recurrence of symptoms half a year after operation. Conclusion: high position incomplete vaginal septum is easy to be misdiagnosed and mistreated, especially for the narrow septal orifice accompanied by infection, pelvic inflammation and other adverse consequences.
【作者單位】： 安徽醫(yī)科大學(xué)阜陽(yáng)臨床學(xué)院婦科;
【分類號(hào)】：R711.1

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