摘要
目的探讨腹腔镜乙状结肠代阴道手术治疗先天性无阴道的可行性、效果及其操作要点。方法回顾性分析2006年6月～2007年7月行腹腔镜乙状结肠代阴道手术的6例先天性无阴道患者临床资料,年龄18～25岁,平均20.7岁,分析手术时间、术中失血量、住院时间及围手术期并发症发生情况,讨论手术操作要点及腹腔镜手术特点。结果6例手术无中转开腹。手术时间为3～6h,术中失血量150～350mL。平均术后住院时间10d。无肠吻合口漏,无移植段乙状结肠缺血坏死发生。1例术后肠道重建的吻合口少量出血,经保守治疗后痊愈。结论腹腔镜手术具有痛苦小、出血少、恢复快、瘢痕小等诸多微创特点,应用其代替开腹手术治疗先天性无阴道是安全可行的。
ObjectiveTo discuss the technical feasibility and effect of laparoscopic sigmoid colpopoiesis in pa-tients of congenital absence of vagina. MethodsFrom June 2006 to July 2007, 6 cases of patients with vaginal aplasia were treated by laparoscopic sigmoid colpopoiesis. The clinical data about the operative procedures and the periopertive complications were collected and summarized.ResultsThe operation duration was 3 h～6 h. The av-erage blood loss in operation was 150～350 mL. The average postoperative hospitalization was 10 days. No case was converted to open laparotomy. No anastomotic leakage or sigmoid colon graft ischemic necrosis occurred. 1 case of postoperative anastomotic bleeding was found and cured by conservative treatment. ConclusionConsidering its characteristics of less pain, less bleeding, faster recovery, smaller scar and many other minimally invasive features, laparoscopic sigmoid colpopoiesis is safe and feasible to be applied in congenital absence of vagina treatment.
出处
《中国内镜杂志》
CSCD
北大核心
2009年第2期123-125,128,共4页
China Journal of Endoscopy
