摘要
目的对比两种阴道成形术的临床应用价值。方法1996年1月～2005年3月,对37例应用羊膜移植阴道成形术和26例腹腔镜下改良Vecchitti阴道成形术进行对比,比较分析其治疗先天性无阴道的优缺点,并分别对两种术式应用的阴道模型进行了相应改进。结果羊膜移植阴道成形术组37例均取得成功,术后随访35例,随访时间2个月～4年;发生羊膜感染3例,瘢痕挛缩2例,其中1例于术后13个月行瘢痕切开术获成功,另1例拒绝再次手术。腹腔镜下改良Vecchitti阴道成形术组手术26例均取得成功,术后均获随访,随访时间2个月～2.5年,无阴道感染及瘢痕挛缩。两种术式成形的阴道宽敞,黏膜呈粉红色,有皱壁、润滑、弹性好,外阴外观无改变,性生活满意。两种术式中的改进之处均取得了良好的临床应用效果。结论腹腔镜下改良Vecchitti阴道成形术与羊膜移植阴道成形术比较具有明显优势,有推广价值。
Objective To investigate the clinical therapeutic effects of two types of vaginoplasty. Methods From January 1996 to March 2005, 63 patients with the congenital absence of the vagina were treated by two types of vaginoplasty. Of the 63 patients, 37 underwent vaginoplasty using the amnion and 26 underwent an improved laparoscopic Vecchitti operation. The durations of the operation and hospitalization, as well as the blood loss were compared between the two types of vaginoplasty. The vaginal moulds were improved during the operations. Results According to the follow-up for 2 months to 4 years in the 35 patients. Compared with vaginoplasty using the amnion, vaginoplasty by an improved laparoscopic Vecchitti operation had advantages of significantly shorter surgical duration, shorter hospitalization, and less blood loss （P〈0.05）. After the operations, the artificial vagina of all the 63 patients could hold a speculum and the mucosa appeared so soft and smooth with normal lubrication. The married patients were satisfied with the intercourse. However, after vaginoplasty using the amnion, an infection of the amnion occurred in 3 patients, scar contracture in 2 patients, one of whom underwent scar incision 13 months after operation with a success ; but the other refuse to accept another operation. But the improved laparoscopic Vecchitti operation achieved a success in the patients without any infection or scar contracture, according to the 2 month-2.5 years follow-up. Conclusion The improved laparoscopic Vecchitti operation is a preferred procedure of constructing a vagina for the patients suffering from the congenital absence of the vagina.
出处
《中国修复重建外科杂志》
CAS
CSCD
北大核心
2006年第8期829-831,共3页
Chinese Journal of Reparative and Reconstructive Surgery
关键词
羊膜
腹腔镜
阴道成形术
比较研究
Amnion Laparoscope Vaginoplasty Comparison study
