摘要
目的 评估乙状结肠阴道成形术治疗Mayer-Rokitansky-Kuster-Hauser(MRKH)综合征的可行性。方法 对32例乙状结肠阴道成形术患者的技术参数、手术及术后并发症、术后阴道解剖学及功能学指标进行分析。结果 手术时间130~180min;术后Hb下降15~33g/L;术中并发直肠损伤1例,术后并发腹部刀口感染1例、泌尿系统感染1例;住院时间9~22d;成形阴道长度10~12cm、宽度≥2指(约4cm)。术后0.5a阴道分泌物明显减少。24例有规律性生活者,术后0.5~1a基本满意。结论 乙状结肠阴道成形术是治疗MRKH综合征的有效方法。
Objective : To assess the technical feasibility of sigmoid colon vaginoplasty in patients with Mayer-Rokitansky-Kuster-Hauser (MRKH) syndrome. Methods: 32 patients with MRKH syndrome underwent sigmoid colon vaginoplasty. The operative technique and the operation complications, the anatomical and functional results of the neovagina were evaluated. Results: The mean operation duration was 156 min (range 130~180 min). The mean fall of haemoglobin was 20 g/L (range 15~33 g/L). The complications included rectal injury (n=l), urinary tract infection (n=1), infection in incision wound (n=1). The mean hospital stay was 10.6 d (range 9~22 d). The mean length of neovagina was 10. 7 cm (range 10~12 cm) and the width was about 4 cm. There was an obvious decrease of the discharge and stink of neovagina in the initial 6 months. The patients with regular intercourse achieved satisfaction in half a year or one year after operation. Conclusion ; sigmoid colon vaginoplasty is an effective approach MRKH syndrome.
出处
《山东医药》
CAS
北大核心
2006年第12期15-16,共2页
Shandong Medical Journal