先天性无阴道两种治疗方法疗效评价

An evaluation of curative effect of two kinds of therapy to congenital absence of vagina

目的 :比较两种手术方法治疗先天性无阴道的效果。方法 :2 3例先天性无阴道患者 ,采用乙状结肠阴道成形术治疗 18例 ,行阴股沟皮瓣移植阴道成形术治疗 5例 ,对两种手术方法的疗效、手术时间、出血量、术后住院时间和住院费用进行比较。结果 :两种手术方法手术成功率为 10 0 % ,无并发症。人工阴道有足够的宽度和深度 ,柔软而富有弹性 ,术后无需长期佩戴阴道模具 ,性生活满意。平均手术时间、术后住院时间和住院费用两者无显著差异 (P >0 0 5 ) ,乙状结肠阴道成形术者出血量多于阴股沟皮瓣移植阴道成形术者 (P <0 0 1)。结论 :两种方法均为治疗先天性无阴道的理想方法。乙状结肠阴道成形术因形成的人工阴道在解剖和功能上更接近正常阴道、外阴形态正常而优于阴股沟皮瓣移植法。

Objective To compare the curative effect of two kinds of operative therapy to congenital absence of vagina.Methods Vaginoplasty with sigmoid was applied to 18 cases,and vulvar inguinal skin flap transfer to 5 cases.The differences in the therapeutic effect,operation duration,bleeding,post operative hospitalization and expenses between the two groups were compared.Results Operation success rates were both 100%.No complications occurred. The artificial vaginal cave had enough width and depth,soft and flexible,no vaginal model needed,which enabled the patients to have normal intercourse.There was no significant difference in average time spent in operation,post operative hospitalization and expenses( P >0 05).But there was more bleeding in the operation of vaginoplasty with sigmoid( P <0 01).Conclusion Both methods are ideal to those who are congenitally absent of vagina.Vaginoplasty with sigmoid is superior to the other in terms of anatomy,function and vulva morphology.