悬吊式腹腔镜下带血管蒂乙状结肠移植阴道成形术

Abdominal wall lifting laparoscopic sigmoid colon vaginoplasty

目的:探讨悬吊式无气腹腹腔镜下带血管蒂乙状结肠移植阴道成形术的手术方法和疗效。方法:应用悬吊式无气腹腹腔镜行乙状结肠阴道成形术64例,其中悬吊式腹腔镜辅助下手术56例,包括先天性无阴道50例,易性癖6例;悬吊式全腹腔镜下手术8例,为先天性无阴道患者。结果:64例患者手术均成功,手术时间90～210mi n,术中出血量50～120ml,1例易性癖患者术后3个月时出现阴道口挛缩。结论:悬吊式无气腹腹腔镜乙状结肠阴道成形术创伤小,操作便利,术后恢复快,生理解剖功能较好,且具有美学效果,是一种比较理想的阴道成形术式。

Objective To investigute the operational technique and therapeutic effect of suspended laparoscopic sigmoid colon vaginoplasty.Methods 64 patients underwent laparoscopic sigmoid colon vaginoplasty using abdominal wall-lifting methods,56 patients for laparoscopic assisted vaginoplasty： 50 patients with congenital absence of vagina,6 patients with transsexualism;8 patients for total laparoscopic operation.Results 64 patients underwent this surgery successfully.The operation time was 90～210 min,and the blood loss was 50～120ml,one patient with transsexualism occurred vagina contracture 3 months after operation.Conclusion Laparoscopic sigmoid colon vaginoplasty with abdominal wall lifting is satisfying for effective technique,physiological and anatomic function,and cosmetic result.