腹腔镜下腹膜阴道成形术15例报导

Laparoscopically Asisted Preitoneum Vaginoplasty Report of 15 Cases

目的：探讨治疗先天性阴道缺如的最佳手术方式。方法：收集2007年6月至2007年12月先天性阴道缺如患者15例（包括完全型雄激素不敏感综合征1例）患者治疗均采用腹腔镜下腹膜阴道成形术。结果：15例手术全部成功，无并发症。腹腔镜下腹膜阴道成形术，是将一种复杂的手术简单化，术后无须佩带模具，也不存在阴道干涩或者分泌物过多、腥臭等缺点，性生活满意。结论：腹腔镜下腹膜阴道成形术，是治疗先天性阴道缺如十分理想的手术。

Objective. To approach the best operation for patient with congenital absence of vagina. Methods： Fifteen cases （including one case of testicular feminization syndrome） are treated with laparoscopically asisted preitoneum vaginoplasty from June, 2007 to December, 2007. Results： The laparoscopically asisted preitoneum vaginoplasties are successful without complications. This method can simplify vaginoplasty. There is no need to install a model penis in the patient＇s vagina after operation, Besides, the patients＇vaginal discharge is normal and this kind of vaginoplasty offers a good outcome of sex- ual satisfacation. Conclusion： Laparoscopically asisted preitoneum vaginoplasty is a ideal operation for patients with congenital absence of vagina.