经阴道腹膜代阴道成形术13例临床分析

Clinical analysis of 13 cases of transvaginal colpoplasty with peritoneum

目的:探讨先天性无阴道、无子宫患者行经阴道腹膜代阴道术式之可行性,并与腹阴联合术式腹膜代阴道比较。方法:对13例先天性无阴道、无子宫的患者施行经阴道腹膜代阴道手术,与我院先前腹阴联合术式11例的结局进行比较,所有病例年龄、身高、体重均无显著差异。结果:所有病例均成功行该术式,且手术步骤简化、手术时间及术中出血都明显比腹阴联合术式减少(P<0.01),术后病员恢复快,阴道上皮化过程迅速。结论:阴式腹膜代阴道术式减轻病员痛苦、美观、恢复快、疗效满意。

Objective： To investigate the feasible of transvaginal colpoplasty with peritoneum for patients with congenital absence of vagina and uterus by comparing with the approach of vaginal and abdominal colpoplasty with peritoneum. Methods： 13 patients with congenital absence of vagina and uterus underwent transvaginal colpoplasty with peritoneum were compared with 11 cases underwent vaginal and abdominal colpoplasty. There were no significant differences in age, body height and weight. Results： All cases underwent the approach successfully and the operation procedure was simple. Compared to vaginal associating with abdominal approach, the transvaginal colpoplasty with peritoneum was associated with less operation staffs, shorter operating times, less blood loss, faster return to normal activity after operation and faster epithelization in vagina. Conclusion： The approach of transvaginal colpoplast with peritoneum is worth to be spread by relieving pain, beautiful oulook, fast recovery and satisfactory effect.