先天性阴道闭锁合并经血潴留的处理

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胚胎发育过程中,由于部分苗勒氏管发育受阻,形成阴道闭锁而子宫发育正常。患者在青春期以后,因经血潴留出现周期性下腹疼痛或排尿困难而就诊。本院于1980~1989年应用水垫造穴,舌状切开血肿壁以覆盖阴道后壁创面,放置竹筒模型治疗7例,报告如下。资料与方法一、资料本组病例均为15~17岁的中学生,其中汉族5例、景颇族1例。德昂族1例。阴道中下段闭锁5例,宫颈及阴道闭锁2例,合并外阴白斑2例。二、方法1.水垫分离造穴。患者在硬麻下取膀胱截石位,消毒铺巾。首先确定尿道、膀胱与直肠之间的位置,术者食指伸入直肠内作指引,在阴前庭凹陷中点处进针,沿阴道曲度 Embryonic development, due to the development of some Müllerian tube obstruction, the formation of vaginal atresia and normal uterine development. Patients after puberty, due to menstrual blood retention appear periodic abdominal pain or dysuria and treatment. The hospital from 1980 to 1989, the use of water cushion to make a point, the tongue cut the hematoma wall to cover the vaginal wall wound, placed bamboo model for the treatment of 7 cases, the report is as follows. Materials and Methods First, the data of this group of patients are 15 to 17-year-old high school students, of which 5 were Han and Jingpo 1 case. 1 case of De’ang. 5 cases of vaginal in the lower block, cervical and vaginal atresia in 2 cases, combined with 2 cases of vulvar leukoplakia. Second, methods 1. Water cushion separation points. Patients under the bladder to take lithotomy bits, disinfectant shop towels. First determine the location of the urethra, bladder and rectum, the surgeon’s index finger into the rectum for guidance in the midpoint of the vaginal vestibule into the needle, along the curvature of the vagina
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