小阴唇肥大的个体化手术治疗

Individualized Surgical Treatment of Labia Minora Hypertrophy

目的:探讨3种小阴唇肥大矫正术的临床疗效。方法:根据小阴唇的大小将患者分为3组。根据小阴唇增生程度以及患者对小阴唇术后外观及形态的美学要求选择直线切除缝合术、楔形切除术及中央去上皮缝合术行小阴唇缩小整形。结果:5例行小阴唇直线切除缝合术;15例行楔形切除术;2例行中央去上皮缝合术;1例患者右侧小阴唇行中央去上皮缝合术,左侧小阴唇行楔形切除术。1例患者切口延迟愈合。所有患者对小阴唇外观形态及功能满意。结论:3种小阴唇缩小技术在不同的临床情况下都有较好效果,术中应根据患者的肥大程度和美学目标来选择最佳手术方式。

Objective To explore the clinical effcacy of three kinds of correction of labia minora hypertrophy. Methods Patients were stratifed into one of three groups based on labial size. The surgeon chose one of three reduction techniques based on the degree of labial hypertrophy and the patient’s aesthetic preferences for labial edge color and contour. Three reduction techniques were used including the edge excision method, the wedge resection method, and deepithelialization reduction labioplasty. Results The 23 procedures performed included two deepithelialization method, fve edge excision method, and ffteen wedge resection method. One patient performed deepithelialization method and wedge resection method. As reported, all patients were “very satisfed” with their aesthetic and functional results. The complications were minimal, with one patients experiencing minor wound healing diffculties thatresolved spontaneously. Conclusion The authors found all three techniques for labia minora reduction to be useful in different clinical situations. The best surgical technique is chosen based on the patient＇s hypertrophy and aesthetic goals.