25例先天性无阴道的手术治疗

Surgical treatment of 25 patients with congenital absence of vagina

目的探讨先天性无阴道患者的手术疗效。方法回顾性分析2006年1月-2011年6月我科就诊的25例先天性无阴道患者的临床资料,20例行脱细胞异体真皮补片人工阴道成形术,3例行腹会阴联合腹膜代阴道成形术,2例行羊膜代阴道成形术。结果 19例脱细胞异体真皮补片人工阴道成形术和1例腹膜阴道成形术者在术后8周人工阴道完全黏膜化,性生活满意率为90%。结论脱细胞异体真皮补片阴道成形术后阴道黏膜化时间短,满意率高,是一种值得推广的术式。

Objective To study the curative effect of surgical treatment on congenital absence of vagina. Methods Clinical data about 25 patients with congenital absence of vagina admitted to our hospital from 2006 to 2011 were retrospectively analyzed. Of these patients, 20 underwent vaginoplasty with acellulardermal repairing patch, 3 underwent vaginoplasty with peritoneum, and 2 underwent vaginoplasty with amniotic membrane. Results The vagina mucosa was formed in 19 patients 8 weeks after vaginoplasty with acellulardennal repairing patch and in 1 patient after vaginoplasty with peritoneum. The satisfactory rate of the patients for sexual life was 90%. Conclusion The time of vagina mucosa formation is relative short after vaginoplasty with acellulardermal repairing patch. The satisfactory rate of vaginoplasty with acellulardermal repairing patch is high, and the procedure deserves to be recommended.