先天性无阴道综合征羊膜法阴道成形术手术方法介绍和临床结局

Neovaginal reconstruction using amniotic membranes for the management of the patients with MRKH syndrome

先天性无阴道(Mayer-Rokitansky-Küster-Hauser,MRKH)综合征最主要的临床表现为无阴道,常合并子宫缺如。理想治疗是为患者重塑一个解剖上、功能上接近正常的人工阴道,满足患者的性需求。羊膜法阴道成形术被广泛采用,是一种在结构上和功能上均能形成令人满意的人工阴道的术式。该术式简单、安全,不易损伤膀胱、尿道与直肠,手术并发症少,是治疗MRKH综合征的一种有效方法。

The Mayer- Rokitansky- Kiister- Hauser （MRKH） syndrome is characterized by vaginal agenesis and typically accompanied by uterine agenesis. Neovaginal creation to restoring functional anatomy and satisfactory quality of sexual life for the couple is the most ideal approach of the management of MRKH patients. Neovaginal reconstruction using amniotic membranes was practiced widely, and results in satisfying anatomic and functional outcome. The amnion vaginoplasty is simple and safe technique with less chance of the injury ofbladder, urethral and rectal and fewer operation complications. So the neovaginal reconstruction using amniotic membranes is an effective and preferred surgical technique for treatment of congenital absence of vagina.