先天性阴道闭锁的发生与分型

The occurrence and classification of congenital vaginal atresia

摘要: 目的:探讨先天性阴道闭锁的发生和分型。方法:对1984年3月至2010年3月诊治的先天性阴道闭锁95例进行回顾性分析。病例均按解剖学特征分类，然后在传统的胚胎发育理论基础上，结合一系列实验结果修正补充后形成的新假说，对不同类型的阴道闭锁及合并有子宫颈闭锁的病例进行发生与分型的探讨。结果:在原有分型基础上，补充完善了阴道闭锁分型:Ⅰ型为阴道下段闭锁型，Ⅱ型为阴道完全闭锁型，Ⅲ型为阴道上段闭锁型，Ⅳ型为阴道顶端闭锁型。结论:阴道闭锁的恰当分型对该病诊断与治疗具有临床指导价值。

Abstract: Objective：To investigate the occurrence and classification of congenital vaginal atresia.Methods：A retrospective analysis(from Mar.1984 to Mar.2010) about congenital vaginal atresia was carried.All 95 cases were classified according to anatomic characteristics.A new hypothesis was developed based on the traditional theory of embryonic development and a serial of experimental data.Further study about the occurrence and classification was raised.Results：A new classification was developed and listed.Type Ⅰ：atresia in lower part,type Ⅱ：full atresia,type Ⅲ：atresia in upper part,and type Ⅳ：atresia on the top.Conclusions：The new classification will be benefit for the diagnosis and treatment in future clinical practice.