岛状阴股沟皮瓣阴道形成术的临床应用

Experience of vaginal reconstruction by using a pudendal-thigh island flaps

目的 介绍岛状阴股沟皮瓣的解剖学基础及临床应用。方法 以阴唇后血管神经束为蒂在邻近大阴唇之阴股沟区设计岛状阴股沟皮瓣。结果 自 1993～ 2 0 0 1年共用以行阴道形成术47例 ,获得满意效果。结论 岛状阴股沟皮瓣血运丰富 ,易成活 ,转移时带有部分感觉神经 ,并发症少 ,是形成阴道的理想术式。

Objective To evaluate a pudendal- thigh island flap for vaginal reconstruction. Methods Forty-seven patients with congenital absence of vagina were undergoing the treatment. Based on the pedicle including the posterior labial neurovascular bundle, a pudendal-thigh island flap was designed and raised in the groin crease just lateral to the labia majora under the deep fascia. It was then transferred to the tunnel between the urethra and the anus for reconstruction of the vagina. Results From May of 1993 to July of 2001, 47 patients were successfully treated for the vaginal reconstruction with the flap. The results were satisfactory without complications. Conclusion The above mentioned technique could be a safe and effect method for vaginal reconstruction with the advantages of reliable blood supply, good sensation and few complications. The areaes with the bilateral pudendal-thigh could be large enongh for the vaginal reconstruction without problem of the donor closure.;