IR@PKUHSC  > 北京大学第三临床医学院
学科主题临床医学
An atresia cervix removal, lower uterine segment substitute for cervix and uterovaginal anastomosis: a case report and literature review
He, Haojie; Guo, Hongyan; Han, Jinsong; Wu, Yu; Zhu, Fuli
关键词Cervical Agenesis Cervical Dysgenesis Congenital Cervical Atresia Reconstructive Surgical Procedure
刊名ARCHIVES OF GYNECOLOGY AND OBSTETRICS
2015
DOI10.1007/s00404-014-3361-y
291期:1页:93-97
收录类别SCI
文章类型Review
WOS标题词Science & Technology
类目[WOS]Obstetrics & Gynecology
研究领域[WOS]Obstetrics & Gynecology
英文摘要

The management of cervical dysgenesis is still a big challenge, mostly due to the complexity of the malformation and the difficulty to conserve the patient′s fertility during the surgery. The objective of this article is to report a new successful approach for treating cervical dysgenesis as well as conserving patients′ fertility.

We presented a case of a 22-year-old girl with vaginal agenesis and cervical dysgenesis, who after an initial failure at reconstructive surgery was successfully treated by removing a cord-like cervix and a central muscular cylinder of her lower uterine segment and lining the channel with peritoneum as the reconstructed cervix.

The patient has had normal menstruation without dysmenorrhea for one and a half years since the surgery.

Several steps should be followed in managing patients with congenital cervical atresia: (1) a sufficient imaging evaluation before operation is necessary; (2) a falling-off-proof cervical catheter such as a mushroom catheter (also referred to as pezzers self-retaining catheter), and a proper vaginoplasty are key to a successful cervical canalization; (3) smooth grafted tissues such as peritoneum can be used to line the cervical canal to avoid adhesions.

语种英语
WOS记录号WOS:000347289600016
Citation statistics
Cited Times:1[WOS]   [WOS Record]     [Related Records in WOS]
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/54153
Collection北京大学第三临床医学院
作者单位Peking Univ, Dept Gynecol & Obstet, Hosp 3, Beijing 100871, Peoples R China
Recommended Citation
GB/T 7714
He, Haojie,Guo, Hongyan,Han, Jinsong,et al. An atresia cervix removal, lower uterine segment substitute for cervix and uterovaginal anastomosis: a case report and literature review[J]. ARCHIVES OF GYNECOLOGY AND OBSTETRICS,2015,291(1):93-97.
APA He, Haojie,Guo, Hongyan,Han, Jinsong,Wu, Yu,&Zhu, Fuli.(2015).An atresia cervix removal, lower uterine segment substitute for cervix and uterovaginal anastomosis: a case report and literature review.ARCHIVES OF GYNECOLOGY AND OBSTETRICS,291(1),93-97.
MLA He, Haojie,et al."An atresia cervix removal, lower uterine segment substitute for cervix and uterovaginal anastomosis: a case report and literature review".ARCHIVES OF GYNECOLOGY AND OBSTETRICS 291.1(2015):93-97.
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