本文报道1例15岁因间断下腹痛1年,加重3个月入院的阴道闭锁患者,行腹腔镜辅助生物补片人工阴道成形联合宫颈阴道接通术。手术时间180 min,术中出血100 ml。术后2周出院,术后3、7周月经来潮,无腹痛。术后4~9周每周复查,见阴道上皮修复好,阴道弹性可,阴道壁粉红色,湿润度好,宫颈口可容7号扩宫棒。术后3个月复查盆腔B超,宫腔线清晰。术后随访6个月,月经规律来潮,经血排出通畅,生物补片吸收,阴道上皮修复好。我们认为腹腔镜辅助生物补片人工阴道成形联合宫颈阴道接通术可以作为治疗先天性阴道闭锁的首要选择。%[Summary] This article reported a 15-year-old patient with vaginal atresia, who was admitted into hospital because of intermittent abdominal pain for 1 year and aggravation for 3 months. She underwent an operation of laparoscopic biological patch colpoplasty combined with cervical vaginal recanalizing. The operation time was 180 min, and the intraoperative blood loss was 100 ml. The patient was discharged from hospital 2 weeks after operation. At 3 and 7 weeks after operation, she began to menstruate regularly without abdominal pain. Weekly re-examinations at 4-9 weeks after operation showed normal vaginal epithelium and elasticity. The vaginal wall was pink and moist. The cervical mouth could be dilated with a caliber 7 cervix stick. B-ultrasonography at 3 months after operation showed clear uterine cavity line. Follow-up for 6 months showed normal menstruation, with blood eduction unobstructed, biological patch absorbed, and vaginal epithelial repaired. We deem that laparoscopic biological patch colpoplasty combined with cervical vaginal recanalizing is the first choice for vaginal atresia.
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