Clinical characteristics of congenital cervical atresia based on anatomy and ultrasound: a retrospective study of 32 cases

European Journal of Medical Research

Xiaoying Liu³  Liang Li²  Yongying Liu²  Hong Xiao²  Ningzhi Zhang²  Jiandong Liu¹  Xiaoping Zhang²  Zhihong Xie² 

[1] Department of Pathology, Fuyang Clinical Institute, Anhui Medical University, No. 63 Luci Street, Fuyang 236003, China;Department of Obstetrics and Gynecology, Fuyang Clinical Institute, Anhui Medical University, No. 63 Luci Street, Fuyang 236003, China;Department of Obstetrics and Gynecology, Fuyang Fifth People Hospital, Fuyang 236037, China

关键词: Müllerian duct anomaly;    congenital cervical atresia;    cervicovaginal operation;   

Others  :  817581
DOI  :  10.1186/2047-783X-19-10

 received in 2013-09-17, accepted in 2014-01-06,  发布年份 2014

【 摘 要 】

Background

To explore the clinical characteristics of congenital cervical atresia.

Methods

This retrospective analysis included 32 cases of congenital cervical atresia treated from March 1984 to September 2010. The anatomic location, ultrasonic features, surgical treatments, and outcomes were recorded.

Results

Based on clinical characteristics observed during preoperative ultrasound and intraoperative exploration, congenital cervical atresia was divided into four types. Type I (n?=?22/32, 68.8%) is incomplete cervical atresia. Type II (n?=?5/32, 15.6%) defines a short and solid cervix with a round end; the structure lacked uterosacral and cardinal ligament attachments to the lower uterine body. Type III (n?=?2/32, 6.3%) is complete cervical atresia, in which the lowest region of the uterus exhibited a long and solid cervix. Type IV (n?=?3/32, 9.4%) defines the absence of a uterine isthmus, in which no internal os was detected, and a blind lumen was found under the uterus.

Conclusions

Observations of clinical characteristics of congenital cervical atresia based on the anatomy and ultrasound may inform diagnosis and treatment strategy.

【 授权许可】

   
2014 Xie et al.; licensee BioMed Central Ltd.

【 图 表 】

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