全腹腔镜下带血管蒂回肠移植阴道成形术18例临床分析

Clinical Study on Laparoscopic Vaginoplasty Using Ileum Segement

目的:总结腹腔镜下行带血管蒂回肠移植阴道成形术的方法及临床应用效果。方法:回顾性分析18例全部在腹腔镜下带作的血管蒂回肠移植阴道成形术患者的临床资料。结果:18例手术均获得成功,术后随访3个月至1年半,移植回肠段成活良好,再造阴道符合生理要求;有性生活者14例,均满意。术后不完全肠梗阻1例,经手术及对症处理治愈。结论:腹腔镜下回肠代阴道是目前较为理想的阴道成形方法,腹腔镜下回肠代阴道手术在腹壁上不留手术瘢痕,美容效果理想,但操作难度大,费用较高,可供医患选择。

Objective： To study the operative rnethods and clinical outcome of laparoscopic vaginoplasty using ileum segement. Methods： 18 cases underwent laparoscopic ileal colpopoiesis were reviewed. Results： Ileal colpopoiesis were preformed successfully on all 18 cases. During a follow- up of 3 - 18 months, all the patients got satisfactory vaginal function with mucus and moistness, and also sexual function in 14 cases of sexual activities. One got incomplete intestinal obstruction and be cured by a second operation and other treatments. Conclusions： Laparo- scopic ileal colpopoiesis is a preferable alternative for vaginoplasty with micro - invasion and ideally cosmetic result. But the operation is more difficult and costs more.