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目的分析阴道闭锁的临床特点,探讨其分型在诊断与治疗中的意义。方法回顾分析我院近15年收治的31例先天性阴道闭锁合并有功能子宫的临床资料,包括临床表现,手术方式及术后经过。结果25例采用保留子宫并阴道成形手术,22例保留子宫成功,其中5例已婚,2例获妊娠分娩。结论先天性阴道闭锁合并有功能子宫的治疗虽较为困难,术后坚持带模,仍可能保留其生理与生殖功能。
Objective To analyze the clinical features of vaginal atresia and discuss the significance of its classification in diagnosis and treatment. Methods The clinical data of 31 cases with congenital vaginal atresia combined with functional uterus admitted in our hospital in recent 15 years were retrospectively analyzed, including clinical manifestations, surgical methods and postoperative complications. Results Twenty-five cases were treated with preservation of the uterus and vaginoplasty. Twenty-two cases were successful in preserving the uterus. Five of them were married and two were delivered with pregnancy. Conclusions Although the treatment of congenital vaginal atresia with functional uterus is more difficult, it is still possible to retain its physiological and reproductive function after operation.