乙状结肠代阴道术在先天性阴道闭锁中的经验

The application of sigmoid vaginoplasty procedure in patients with congenital atresia of vagina

目的 探讨乙状结肠代阴道手术要点及安全性.方法 回顾性分析了10年间28例乙状结肠代阴道的手术方法及结果,对腹腔镜辅助手术方法进行了初步探讨.结果 28例患者均手术成功,术中移植肠段顺行植入会阴有10例,倒转植入18例;移植肠段12～15 cm,平均13.2±1.5 cm.并发症发生率在可接受范围.随访1年,所有代阴道粘膜红润,20例有性生活者感觉满意.结论 乙状结肠代阴道手术是一个比较安全有效的治疗先天性阴道闭锁的方法,腹腔镜辅助乙状结肠代阴道术应为此类手术未来发展的趋势.

Objective To explore the key points and safety of vaginoplasty by using sigmoid colon graft for congenital absence of vagina in open and laparoscopy-assisted procedure. Methods The methods and results of sigmoid vaginoplasty procedure in 28 patients were retrospectively analyzed and laparoscopy-assisted sigmoid vaginoplasty procedure was preliminarily studied. Results The surgical procedures of all 28 patients were successful with acceptable complications. Conclusion The procedure of sigmoid vaginoplasty is safe and effective for congenital atresia of vagina, and the procedure of laparoscopy-assisted sigmoid vaginoplasty should become the trend of this procedure in future.