目的:Hydrometrocolpos是指阴道和子宫的扩张,除脓液或血液以外的液体。这是由于阴道远端梗阻,其可能的原因之一是远端阴道发育不全。由于母体雌激素对子宫和宫颈腺的刺激,远端阴道闭锁的患者可能在新生儿期出现。在这项研究中,我们介绍了通过单阶段经腹会阴穿通阴道成形术治疗因阴道远端闭锁而出现复杂的积水新生儿的结果.
方法:在2003年7月至2018年6月期间,新生儿就诊于小儿外科,医学院,AinShams大学患有复杂的水生病(并发阻塞性尿路病,肠梗阻,该研究包括由于远端阴道闭锁引起的尿路感染或全身性败血症)。所有患者均接受单阶段腹部-会阴拉通阴道成形术,并引流积聚的液体。手术后对患者进行了至少4年的液体再积聚或阴道狭窄随访。
结果:在指定的时间段内,14例新生儿因远端阴道闭锁而出现复杂的积水(并发梗阻性尿路病,肠梗阻,尿路感染或全身性败血症)出现在小儿外科,医学院,AinShams大学进行了单阶段腹部-会阴拉通阴道成形术,并引流了积聚的液体。他们的年龄在4到18天之间(平均10,中位数8)。两名患者(14%)出现了阴道狭窄,对扩张反应良好,在随访期间,没有一名患者再次积聚液体。
结论:单阶段腹部-会阴牵拉式阴道成形术在新生儿并发远端阴道闭锁(并发梗阻性尿路病变,肠梗阻,尿路感染或全身性败血症)是一种适当且可行的技术,结果令人满意。
■IV.
OBJECTIVE: Hydrometrocolpos is distension of the vagina and uterus with fluid other than pus or blood. It is due to distal vaginal obstruction, and one of its possible causes is agenesis of the distal vagina. Patients with distal vaginal atresia may present in the neonatal period due to stimulation of uterine and cervical glands by maternal estrogen. In this study, we presented our results in managing neonates with complicated
hydrometrocolpos due to distal vaginal atresia through a single-stage abdomino-perineal pull-through vaginoplasty.
METHODS: During the period from July 2003 to June 2018, neonates presented to the Department of Pediatric Surgery, Faculty of Medicine, Ain Shams University with complicated
hydrometrocolpos (complicated with obstructive uropathy, intestinal obstruction, urinary tract infection, or systemic sepsis) due to distal vaginal atresia were included in the study. All the patients underwent single-stage abdomino-perineal pull-through vaginoplasty with drainage of the accumulated fluid. The patients were followed up for re-accumulation of fluid or vaginal stenosis for at least 4 years after the procedure.
RESULTS: During the specified period, 14 neonates with complicated
hydrometrocolpos due to distal vaginal atresia (complicated with obstructive uropathy, intestinal obstruction, urinary tract infection, or systemic sepsis) presented to the Department of Pediatric Surgery, Faculty of Medicine, Ain Shams University and underwent single-stage abdomino-perineal pull-through vaginoplasty with drainage of the accumulated fluid. Their age ranged between 4 and 18 days (mean 10, median 8). Two patients (14%) developed vaginal stenosis, which responded well to dilatation, and none of the patients had re-accumulation of the fluid during the follow-up period.
CONCLUSIONS: Single-stage abdomino-perineal pull-through vaginoplasty in neonates with complicated distal vaginal atresia (complicated with obstructive uropathy, intestinal obstruction, urinary tract infection, or systemic sepsis) is an appropriate and feasible technique with a satisfactory outcome.
METHODS: Treatment study.
UNASSIGNED: IV.