部分小阴唇皮瓣网状移植人工阴道成形术治疗先天性阴道闭锁或先天性无阴道9例

李靓; 张晓平; 谢志红; 张友国; 李娜

doi:10.13898/j.cnki.issn.1000-2200.2019.02.018

部分小阴唇皮瓣网状移植人工阴道成形术治疗先天性阴道闭锁或先天性无阴道9例

Effect of vaginoplasty using partial labia flap mesh graft in the treatment of congenital complete vaginal atresia or congenital absence of vagina in 9 cases

摘要

摘要:
目的探讨部分小阴唇皮瓣网状移植人工阴道成形术治疗先天性无阴道或阴道完全闭锁的临床效果及优越性。
方法对2011年5月至2017年9月收治的先天性阴道闭锁合并宫颈闭锁或先天性无阴道病人9例，设计并施行部分小阴唇皮瓣网状移植人工阴道成形术或宫颈成形术，对手术效果进行评估。
结果9例手术均顺利，出院前阴道深度均达到7~9 cm。远期随访：9例病人阴道宽度与深度均满意；5例保留子宫的月经周期正常，术后均无腹痛发生；7例已结婚，婚后性生活均满意。
结论部分小阴唇皮瓣网状移植人工阴道成形术是治疗先天性阴道闭锁或先天性无阴道病人的首选手术方式之一。

Abstract:
ObjectiveTo explore the feasibility and clinical effects of using vaginoplasty partial labia flap mesh graft in the treatment of congenital complete vaginal atresia or congenital absence of vagina.
MethodsFrom May 2011 to September 2017, nine cases with congenital atresia of vagina complicated with congenital abnormal cervix or congenital absence of vagina were treated with vaginoplasty or cervicoplasty using partial labia flap mesh graft, and the operation results were evaluated.
ResultsAll operations were successful, and the depth of vagina arrived at 7 to 9 cm before discharge.Long term follow-up:nine cases were satisfied with the width and depth of the vagina.Five cases rserved uterine had normal menstral cycle, who had no dysmenorrhe.Seven cases were already married with satisfied sex.
ConclusionsCervicovaginal reconstruction with part of the labia minora flap retiform transplantation is an effective alternative for treating congenital complete vaginal atresia combined with cervical atresia or congenital absence of vagina.

HTML全文

参考文献(10)

施引文献

资源附件(0)