腹腔镜下腹膜阴道成形术12例临床分析

Laparoscopic vaginoplasty with peritoneum(A report of 12 cases)

目的探讨腹腔镜下腹膜阴道成形术的临床疗效、优缺点。方法 12例Mayer-Rokitansky-Kuster-Hauser综合征(MRKH综合征)患者行腹腔镜下腹膜阴道成形术,回顾分析临床资料,观察手术时间、术中出血量、术后住院天数等指标,并随访患者人工阴道生长及性生活情况。结果 12例手术均获成功,术中出血量50-200ml,平均80ml,手术时间80-120min,平均100min。3例因双侧始基子宫影响游离腹膜,术中行始基子宫切除术。随访时间14-20个月,平均16个月。10例人工阴道生长好,性生活正常;2例出现阴道顶端塌陷、阴道缩短。结论腹腔镜下腹膜阴道成形术适用于MRKH综合征所致的无阴道患者,安全、可靠、创伤小,疗效好。

Objective To discuss the clinical efficacy,merit and demerit of laparoscopic vaginoplasty with peritoneum.Methods 12 patients with Mayer-Rokitansky-Kuster-Hauser syndrome had been performed laparoscopic vaginoplasty with peritoneum.Clinical data of 12 cases were reviewed retrospectively,and the time of operation,the amount of intraoperative bleeding and the period of postoperative hospitalization were observed,and the growth of artificial vagina and sexual activity were followed up.Results 12 cases were successfully performed laparoscopic vaginoplasty with peritoneum,with 50-200ml intraoperative bleeding,averaged 80ml,and 80-120min operative time,averaged 100min.Primordial uterus in 3 cases were removed because they effected peritoneum to be isolated.All the cases had been followed up for 14-20 months,averaged 16 months.10 artificial vaginas grew well,and 10 cases had normal sexual activity.There were 2 cases occurring the collapse of vaginal top and the shortening of vagina.Concluflsion Laparoscopic vaginoplasty with peritoneum is suitable to congenital absence of vagina caused by Mayer-Roki-tansky-Kuster-Hauser syndrome,with safe,reliable,less invasive,and excellent clinical efficacy.