复旦大学上海医学院妇产科学系教案

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1、复旦大学上海医学院妇产科学系教案教研室（科）妇产科姓名丁景新职称主任医师授课题目女性生殖器官发育异常ANATOMICDISORDERSOFTHEFEMALEREPRODUCTIVESYSTEM节次1、2授课对象2013级6年制临床医学专业留学生班授课日期2017-12-7一．Objectives1.Acknowledgingthedevelopmentofthefemalereproductivesystem.2.Masteringthemanifestation,diagnosisandtreatmentofcommonanatomicdis

2、ordersofthefemalereproductivesystem.二．Contentsofcourses1.Introducingthedevelopmentofthefemalereproductivesysteminbrief.2.Introducingthetypeandcauseofanatomicdisordersofthefemalereproductivesystem.3.Explainingthemanifestationanddiagnosisofimperforatehymenindetail,andintroduci

3、ngthetreatmentandsurgeryofimperforatehymen.4.Explainingtheclinicaltypeofanatomicdisordersofthevaginaindetail,andintroducingthecauseofmalformationofthevagina.5.Explainingtheclinicaltypeofanatomicdisordersoftheuterus.三．TeachingPlanandTimeDistribution（一）Contentsandtimeplan1.The

4、developmentofthefemalereproductivesystem:10min.5Ovary——yolksacendoderm3minGenitaltract——Mullerianduct5minCephalicsegment→FallopiantubesMiddlesegment→UterusInferiorsegmentoftheMulleriantube→UppersegmentofthevaginaTheurogenitalsinus→thelower2/3vaginaExternalGenitalia——urogenit

5、alFold2min1.Genitaltractabnormalities:80min.IImperforatehymen20min--themildestformofthecanalizationabnormalities.Itoccursatthesitewherethevaginalplatecontactstheurogenitalsinus.[ClinicalManifestation]5min1.ahistoryofvagueabdominalpainwithapproximatelymonthlyexacerbations2.No

6、menstruation[PhysicalExamination]5min1.Abulginghymenthatisoftenbluishincolor2.Apalpablecysticmasscompressingrectumbyanal5examination.[AuxiliaryExamination]5min[Treatment]5min1.Paracentesistoconfirmthediagnosis.2.Makingacruciateincisiontoopenthevaginalorifice,excisingtheredun

7、danthymen,andsuturingthehymenwithabsorbablematerials.3.Examiningthecervixregularlly.IIVaginacongenitalabnormalities40minMayer-Rokitansky-Küster-Hausersyndrome10min[ClinicalManifestation]1.Theincidenceisestimatedtobe1in4000-10000live-borngirls.2.Primaryamenorrhea3.Difficultyi

8、nsexualactivity4.Mostpatientshaveprimordialuterus,noperiodicabdominalgia.[D