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先天性阴道闭锁合并有正常子宫的治疗,手术方式不统一,争议颇多。患者发病年龄早,刚进入青春期不久就出现规律性腹痛、盆腔包块等临床症状,外阴发育尚不成熟是治疗的难点。理想的治疗方案不仅要解决患者月经血通畅流出的生理功能,还要在首次手术的同时就能兼顾完成其将来的生殖功能。目前文献报道的方法有子宫切除+阴道成形术、子宫切除待婚前行阴道成形术、保留子宫的阴道成形+各种材料代阴道等,上述方法或丧
Congenital vaginal atresia with normal uterine treatment, surgical methods are not uniform, a lot of controversy. Patients with early age, early adolescence just entered the regular abdominal pain, pelvic mass and other clinical symptoms, vulvar development is not yet mature treatment is difficult. The ideal treatment is not only to solve the patient’s menstrual flow smooth out of the physiological function, but also in the first surgery at the same time be able to take into account the completion of its future reproductive function. The current method reported in the literature hysterectomy + vaginoplasty, hysterectomy to marry before vaginoplasty, vaginal preservation of the uterus + all kinds of materials on behalf of the vagina, the above method or funeral