四种阴道成形术治疗效果的评价

Therapeutic evaluation of four kinds of vaginoplasty

目的 :通过评价四种阴道成形术的治疗效果 ,为临床恰当选择术式提供依据。方法 :对 1980 -0 3～ 2 0 0 3 -0 5,采用四种不同的手术方法治疗先天性无阴道 67例患者的临床资料和随访结果分析总结。结果 :游离皮片包膜移植阴道成形术 3 1例中 ,14例患者出现不同程度的阴道狭窄 ,成功率为 54.8% ;盆腔腹膜阴道成形术 3例 ,术后 5～ 8个月均出现阴道顶端塌陷 ,阴道深度仅 4～ 5cm ;小阴唇皮瓣阴道成形术 6例与乙状结肠段阴道成形术 2 7例 ,再造的阴道较理想 ,已婚者均述术后或婚后性生活满意。结论

Objective: To provide the basis for choosing operative method to treat congenital absence of vagina by therapeutic evaluation of four different kinds of vaginoplasty. Methods: The clinical data of 67 patients with congenital absence of vagina, who were treated by four kinds of vaginoplasty respectively in our de partment from March 1980 to May 2003, were summed up and analyzed. Results: 31 patients were tr eated with free split-thickness skin graft vaginoplasty. Among them, colpostenosis appeared in 14 patients. The successful rate was 54.8%. 3 patients were treated with pelvic cavity peritoneum vaginoplasty. Five to eight months after operation, the roof of vagina collapsed , and the depth of vagina was only 4～5 cm. Labia minor flap vaginoplasty and sigmoid colon vaginoplasty were employed to tr eat 6 and 27 patients respectively. The reconstructed vagina was ideal, and the sexual life of the married was sati sfactory. Conclusion: Labia minor flap vaginoplasty and sigmoid colon vaginoplasty is ideal operative method to treat c ongenital absence of vagina.