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学科主题: 临床医学
题名:
An atresia cervix removal, lower uterine segment substitute for cervix and uterovaginal anastomosis: a case report and literature review
作者: 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
发表日期: 2015
DOI: 10.1007/s00404-014-3361-y
卷: 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:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/54153
Appears in Collections:北京大学第三临床医学院_期刊论文

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作者单位: Peking Univ, Dept Gynecol & Obstet, Hosp 3, Beijing 100871, Peoples R China

Recommended Citation:
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.
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