人工阴道成形术的研究现状及展望

Vaginoplasty:Current Development and Future Research

人工阴道成形术是治疗阴道缺如的最主要方法。目前常用的人工阴道成形术有腹膜代阴道成形术、肠管代阴道成形术、羊膜代阴道成形术、皮瓣或黏膜组织移植术、前庭黏膜上提术等。国内外都开展了大量的手术实践,并有相关术后随访数据发表和技术创新。将人工阴道成形术相关文献报道进行综述,回顾这些方法在实际应用中的优缺点,提出一些改善手术效果的建议和今后需要研究的问题。

Vaginoplasty is mainly indicated for females with congenital absence of vagina or vaginal atresia. Numerous methods of vaginoplasty have been proposed and many are in current use, including peritoneal vaginoplasty, bowel vaginoplasty, amniotic vaginoplasty, vaginoplasty with skin or mucosal tissue graft, and vaginoplasty with a traction wire or device （the Vecehietti＇s technique）. Many operations and practice have been carried out at home and abroad, with follow-up data published and technical innovation. In this paper, we review several popular methods and evaluate their pros and cons. We then propose some suggestion on improving effect and some problems remaining to be resolved.