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患者27岁,孕1产0。因孕40~(+3)周有规律宫缩5小时于1996年3月17日入院。查体:发育正常,营养中等,神志清楚。平素月经规律,经期2～3天,经量少伴有痛经。24岁结婚,曾因不孕在外院诊为幼稚子宫合并阴道横隔,未用药物及手术治疗。阴道检查:距阴道口2cm处有一横隔,中间有一直径2mm的小孔,横隔上方可触及胎头,宫口开大4～5cm,棘平。B超提示:胎儿发育正常。立即行手术分娩,手术中发现双侧卵巢输卵管正常,子宫下段拉长,行子宫下段剖宫产,娩出一重4000g男活婴,Apgar评分10分,胎盘胎膜剥离完整,出血不多。为防止恶露排出障碍于手术当天行阴道横隔切开术,填以凡士林纱条,每日更换1次,术后7天腹部切口拆线Ⅰ期愈合,阴道通畅,母婴平安出院。
Patient 27 years old, pregnant 1 produce 0. Due to pregnancy 40 ~ (+3) weeks of regular contractions 5 hours on March 17, 1996 admission. Physical examination: normal development, moderate nutrition, conscious. Normal menstrual regularity, menstrual 2 to 3 days, accompanied by dysmenorrhea less. 24-year-old married, was diagnosed as infertile outside the hospital as a childish uterus with vaginal septa, unmedicated and surgical treatment. Vaginal examination: 2cm away from the vagina at a diaphragm, a diameter of 2mm in the middle of the hole, the top of the diaphragm can reach the fetal head, cervix open 4 ~ 5cm, spine level. B-Tip: normal fetal development. Immediate surgical delivery, surgery found that bilateral ovarian tubal normal, lower uterine elongation, uterine line cesarean section, delivered a heavy 4000g male live baby, Apgar score of 10, placental membranes stripped complete, not much bleeding. In order to prevent the discharge of abscesses, vaginal transversal incision was performed on the day of surgery, filled with Vaseline gauze and changed daily. The abdominal incision was sutured for first-degree healing 7 days after operation. The vagina was smooth and the mother and the baby were discharged safely.