| ObjectiveOur aim was to evaluate the clinical course and management of congenital cervical anomalies and the functional results of these patients who had undergone conservative surgical procedure.MethodsThe medical records of 8 patients admitted to Peking union medical college hospital (PUMCH) between 1984 and 2007 for the surgical treatment of congenital cervical anomalies were reviewed.Results1. Except for one case of 32 years old who received treatment 12 years ago in another hospital, the other seven cases were between the ages of 11 and 21, with the average age of 15.1 years.2. All patients had recurrent pelvic pain as the chief complaint, five of whom referred to hospital in two years. Seven cases had congenital cervical atresia with complete vaginal atresia and one case had congenital cervical aplasia with partial vaginal atresia.3. All patients underwent ultrasonagraphy before operation: 5 cases indicated hematometra and cervical structure, 2 cases indicated hematometra and distended cervixes, 1 case only described vaginal atresia but no cervical anomaly. 4. All patients underwent magnetic resonance imaging (MRI) before operation: two cases described cervical structure and distended cervixes, while the other six indicated obscure cervixes.5. Two cases whose MRI indicated distended cervixes received vaginoplasty and canalization. They had been followed up for 6 and 48 months and both had regular menses. Of the six patients whose MRI didn't describe cervixes clearly, two also underwent canalization but were ultimately given total hysterectomy as a result of secondary stenosis and four had total hysterectomy directly.ConclusionsFor patients with congenital cervical anomalies, if pre-operative MRI or ultrasound examination indicated cervical structure and distended cervix, surgical canalization can be successfully performed. If cervix is not clearly described in MRI or ultrasonography, direct total hysterectomy is suggested to relieve cyclic pelvic pain.
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