腹腔镜下单叶腹膜代阴道成形术的术式探讨及临床效果分析

Discussion of surgical method and analysis on clinical effect of laparoscopic vaginoplasty using single piece of peritoneum

目的:探讨腹腔镜下单叶腹膜代阴道成形术治疗先天性无阴道的手术方法及疗效。方法:回顾性分析52例腹腔镜下单叶腹膜代阴道成形术(腹腔镜组)和34例开腹腹膜代阴道成形术(对照组)患者的临床资料,对两组患者的手术情况、阴道情况以及性生活满意度进行比较。结果:两组患者阴道长度及性生活满意度比较差异无统计学意义(P>0.05);与对照组比较,腹腔镜组手术时间短、术中出血量少、术后下床活动早、肛门排气早、住院时间短(P<0.05)。结论:腹腔镜下单叶腹膜代阴道成形术治疗先天性无阴道具有操作简便,安全、微创、效果好等优点,值得推广。

Objective： To explore the surgical method and curative effect of laparoscopic vaginoplasty using single piece of peritoneum in treatment of congenital absence of vagina. Methods ： The clinical data of 52 patients treated with laparoscopic vaginoplasty using single piece of peritoneum （laparoscope group） and 34 patients treated with open vaginoplasty using peritoneum （control group） were analyzed retrospectively; the surgical conditions, vaginal conditions and sexual satisfaction degrees in the two groups were compared. Results： There was no statistically significant difference in vaginal length and sexual satisfaction degyee between the two groups （ P 〉 0. 05 ） . Compared with control group, the operation time in laparoscope group was shorter, the amount of intraoperative hemorrhage was fewer, the time for getting out of bed is earlier after surgery, anal exhausting time is earlier, and the hospitalization time was shorter, there were statistically significant differences in the indexes abovementioned between the two groups （P 〈 0. 05 ） . Conclusion： Laparoscopic vaginoplasty using single piece of peritoneum has the advantages of ease of operation, safety, minimal invasion and good effect in treatment of congenital absence of vagina, which is worthy of clinical popularization.