乙状结肠阴道成形术治疗MRKH综合征

Sigmoid colon vaginoplasty on Mayer-Roktansky-Kuster-Hauser syndrome

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.