小阴唇肥大的个性化手术效果

Personalized surgical effect of labia minora hypertrophy

目的探讨对小阴唇不同肥大类型及肥厚程度患者采取个性化治疗术式的效果。方法2017年10月至2020年10月,四川省人民医院整形外科收治71例小阴唇肥大患者,年龄18~38岁,平均26岁。根据患者肥大类型及肥厚程度选择适宜手术方式,术后对切口愈合情况及并发症进行观察,对小阴唇形态进行随访。结果71例患者除1例患者出现术后血肿,经积极治疗后无皮瓣坏死,1例患者术后小阴唇远端切口愈合不良,经换药后好转;其余患者小阴唇组织血运均良好,无坏死,术后无感染、血肿等并发症,切口一期愈合。术后随访1~6个月,小阴唇外形自然,双侧对称,切口瘢痕隐蔽,较术前改善显著,患者对形态及功能均满意。结论根据小阴唇肥大程度、具体形态、患者心理期望值进行相应的术式选择,可达到术后小阴唇两侧对称、形态美观的美学标准,满足患者正常生理功能及美学要求。

Objective To explore an optimal surgical approach for different types of labia minora hypertrophy and to design a better personalized surgical treatment plan for patients.Methods From October 2017 to October 2020,71 patients with labia minora hypertrophy were treated in the plastic surgery department of Sichuan Provincial People's Hospital,aged 18-38 years,with an average of 26 years.According to the type and degree of hypertrophy,the appropriate surgical method was selected.The wound healing and complications were observed after operation,and the shape of labia minora was followed up.Results Among the 71 patients,1 patient had postoperative hematoma and no flap necrosis after active treatment.1 patient had poor healing of distal labia minora incision and improved after dressing change.The other patients had good blood supply of labia minora,no necrosis,no postoperative infection,hematoma and other complications.The patients were followed up for 1-6 months.The appearance of labia minora was natural,bilateral symmetry,and the incision scar was hidden.The improvement was significant compared with that before operation.The patients were satisfied with the shape and function.Conclusions According to the degree of hypertrophy of the labia minora,the specific shape and the psychological expectation of patients,we can choose the appropriate operation method,which can achieve the aesthetic standard of symmetry and beautiful shape of the labia minora,and meet the normal physiological function and aesthetic requirements of patients.