先天性无阴道而子宫发育良好者较为罕见。笔者收集7例年龄均在14～16岁之间,其中5例行子宫输卵管切除术,嘱其婚前再行人工阴道成形术,2例在形成人工阴道同时保留子宫,取得满意结果。现将治疗方法介绍如下。手术步骤患者取膀胱截石位,采用连续硬膜外麻醉,由腹部、阴道两组手术人员共同完成手术。阴道组完成下列操作步骤的1、2、5及6的第二层缝合,腹部组完成3、4及6的第一层缝合,7由阴道组完成。 1.分离阴道穴腔:于外阴前庭部位做一弧形切口,两端至两侧小阴唇内侧,先锐性分离会阴浅筋膜,然后用食指一边向深处,一边向两侧钝性分离尿道、膀胱和直肠间隙。注意应沿骨盆轴方向分离,到 Congenital absence of the vagina and well-developed uterus is relatively rare. Seven cases were collected by the author between the ages of 14 to 16 years. Among them, 5 patients underwent hysterosalpingoplasty and were instructed to undergo artificial vaginoplasty before marriage. Two patients were still in the process of forming the artificial vagina while retaining the uterus. Satisfactory results were obtained. Now the treatment methods are as follows. Surgical procedures to take bladder lithotomy position, using continuous epidural anesthesia, by the abdomen, vagina two surgical staff to complete the operation. The vaginal group performed the following steps 1, 2, 5, and 6 of the second layer of sutures, the abdomen group completed the first layer of sutures 3, 4, and 6, and the 7 was completed by the vaginal group. 1. Separation of the vaginal cavity: to do a curved incision in the genital vestibule, both ends to both sides of the labia minora, first sharp separation perineal superficial fascia, and then to the depths with the index finger while blunt dissection to both sides Urethra, bladder and rectum. Note should be separated along the pelvic axis, to