四种阴道成形术比较

Comparison of four types of vaginoplasty

目的 :比较四种阴道成形术的优缺点 ,寻找损伤小 ,疗效好的手术方式。方法 :1995年 1月至 2 0 0 1年 12月 ,对 18例先天性无阴道病人 ,分别采用胎儿皮肤、羊膜、阴股沟皮瓣、大腿皮瓣阴道成形术 ,对手术时间、住院时间、供皮区切口愈合和阴道湿润度及性生活满意度进行对比观察。结果 :胎儿皮肤及羊膜成形术与阴股沟皮瓣及大腿皮瓣成形术相比 ,手术时间短、无损伤 ,人工阴道湿润 ,性生活满意度较高。结论

Objective: To search for a satisfactory surgical approach in vaginoplasty with minimum injury and maximum effectiveness。Methods: From January 1995 to December 2001,18 cases of congenital absence of vagina were treated by four types of vaginoplasty,using fetal skin graft,ammiotic membrane,vulvar—inguinal skin flap,leg skin flap respectively.The duration of operation and the hospitalization,the wound healing of donor site,as well as the moist sensation of the artificial vagina and the sexual life quality were compared among four types of vaginoplasty. Results: Compared with those by vulvar-inguinal skin flap and leg skin flap,the vaginoplasty by fetal skin graft and ammiotic membrane had the shortest Surgical duration(P<0.01),had minimum Injury,had the bestmoistsensation and the most satisfactory sexual life quality,the duration of hospitalization with four types almost the same.Conclusion:The vaginoplasty by fetal skin graft and ammiotic membrane is the most ideal approach among the four types of vaginoplasty investigated in this trial.