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目的:探讨高位不全阴道横隔患者的临床特征及诊治方法。方法:回顾分析2011年1月至2016年1月在安徽医科大学阜阳临床学院妇科及生殖科收治的7例高位不全阴道横隔患者的临床资料。结果:7例高位不全阴道横隔因不孕和经期延长就诊5例,2例婚后阴道异常分泌物,其中1例月经期发热就诊,首诊误诊6例。7例患者性生活正常,5例有正常月经初潮,2例青春期无月经而有周期性下腹痛与盆腔包块,手术治疗后始有月经来潮。手术均顺利,术后随访:6例月经正常,性生活满意,其中5例自然妊娠,孕足月经阴道分娩,1例避孕未育;1例术后半年症状再发,抗炎治疗后症状缓解。结论:高位不全阴道横隔易误诊误治,特别对横隔孔狭小伴发感染者,易造盆腔炎等不良后果。
Objective: To investigate the clinical features, diagnosis and treatment of patients with high incomplete vaginal septum. Methods: The clinical data of 7 patients with high segmental vaginal septum admitted to Gynecology and Reproductive Medicine of Fuyang Clinical College of Anhui Medical University from January 2011 to January 2016 were retrospectively analyzed. Results: In the 7 cases with high incomplete vaginal septum, 5 cases were diagnosed due to infertility and menstruation, 2 cases of abnormal vaginal discharge after marriage, 1 case had fever in menstruation and 6 cases were misdiagnosed in first diagnosis. Seven patients had normal sexual life, five had normal menarche, two had no menstrual period, and had lower abdominal pain and pelvic mass. There was menstrual cramps after surgery. Surgery was smooth and postoperative follow-up: 6 cases of normal menstruation, sexual life satisfaction, of which 5 cases of natural pregnancy, vaginal delivery of pregnancy full pregnancy, 1 case of contraception and not fertility; 1 case of recurrence after 6 months, anti-inflammatory treatment symptoms . Conclusion: High incomplete vaginal transmissibility is often misdiagnosis and mistreatment, especially for small septal hole associated with infection, easy to create pelvic inflammatory disease and other adverse consequences.