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目的:探讨不同类型阴道发育异常的临床特点及诊治策略。方法:回顾分析收治的66例阴道发育异常患者的临床资料。结果:66例阴道发育异常患者中,先天性无阴道21例(31.9%),阴道闭锁1例(1.5%),阴道横隔9例(13.6%),阴道纵隔17例(25.8%),阴道斜隔9例(13.6%),处女膜闭锁9例(13.6%),临床表现主要为原发性闭经、周期性腹痛、性生活困难。阴道发育异常患者常合并其他器官畸形。无阴道患者中有1例采用模具扩张,其余65例患者均采用手术治疗,治疗效果满意。结论:66例阴道发育异常以先天性无阴道多见,手术为主要的治疗方案,疗效可靠。
Objective: To explore the clinical characteristics of different types of vaginal dysplasia and diagnosis and treatment strategies. Methods: The clinical data of 66 patients with vaginal dysplasia were retrospectively analyzed. Results: Among the 66 cases of vaginal dysplasia, 21 cases (31.9%) had congenital absence of vagina, 1 case (1.5%) had vaginal atresia, 9 cases of vaginal septum (13.6%), 17 cases of vaginal mediastinum (25.8% Incision in 9 cases (13.6%), hymen atresia in 9 cases (13.6%), the main clinical manifestations of primary amenorrhea, recurrent abdominal pain, sexual difficulties. Vaginal dysplasia often associated with other organ deformities. No vaginal patients in 1 case using mold dilatation, the remaining 65 patients were treated by surgery, the treatment effect is satisfactory. Conclusion: 66 cases of vaginal abnormalities with vaginal more common congenital, surgery as the main treatment options, the curative effect is reliable.