腹腔镜腹膜阴道成形术与乙状结肠阴道成形术的对比研究  

Laparoscopic peritoneal vaginoplasty versus sigmoid loop vaginoplasty: A comparison study

作　　者：廖莳[1] 周明[1] 林坚[1] 秦成路[1] 王春平[1] 伍春兰[1] 许可可 杜敏[1] 黄志欣[1] 罗光楠[1] 

机构地区：[1]深圳市罗湖区人民医院妇科,深圳518001

出　　处：《中国微创外科杂志》2005年第1期65-66,70,共3页Chinese Journal of Minimally Invasive Surgery

基　　金：深圳市科技局立项课题基金资助项目 (编号 :2 0 0 2 0 415 1)

摘　　要：目的　比较腹腔镜腹膜阴道成形术与乙状结肠阴道成形术的疗效。　方法　 1998年 3月～ 2 0 0 3年 4月对 2 9例先天性无阴道采用腹腔镜腹膜阴道成形术 14例 (腹膜阴道成形术组 ) ,乙状结肠阴道成形术 15例 (乙状结肠阴道成形术组 )。　结果　腹腔镜腹膜阴道成形术组 1例失败 ,改乙状结肠阴道成形术 ,2组无手术并发症及术后病率。腹膜阴道成形术组手术时间 (118 9± 19 0 )min明显短于乙状结肠阴道成形术组 (2 0 2 0± 18 6 )min (t=- 11 6 74 ,P =0 0 0 0 ) ;术中出血量 (36 2±12 6 )ml明显少于乙状结肠阴道成形术组 (10 5 3± 4 6 3)ml (t=- 5 2 0 5 ,P =0 0 0 0 ) ;2组手术术后阴道情况基本相同 ,但乙状结肠阴道成形术组阴道长度 (10 8± 1 1)cm长于腹膜阴道成形术组 (9 0± 0 8)cm(t =- 4 882 ,P =0 0 0 0 ) ;乙状结肠阴道成形术组 3例阴道分泌物偏多 ,4例有异味 ;2组性生活满意程度基本相同。　结论　腹腔镜腹膜阴道成形术与乙状结肠阴道成形术疗效相似 ,但手术创伤小于乙状结肠阴道成形术。Objective To compare the therapeutic efficacy between laparoscopic peritoneal vaginoplasty and sigmoid loop vaginoplasty. Methods A total of 29 cases of congenital absence of vagina received either laparoscopic peritoneal vaginoplasty (Peritoneal Group, 14 cases) or sigmoid loop vaginoplasty (Sigmoid Group, 15 cases) from March 1998 to April 2003. Results The operation failed in 1 case in the Peritoneal Group, requiring a conversion to open sigmoid loop vaginoplasty. Both groups had no surgical complications or postoperative pyrexia. The operating time of the Peritoneal Group (118 9±19 0 min) was significantly shorter than that of the Sigmoid Group (202 0±18 6 min) ( t =-11 674, P =0 000). And the intraoperative blood loss of the former (36 2±12 6 ml) was significantly less than that of the latter (105 3±46 3 ml) ( t =-5 205, P =0 000). The conditions of reconstructed vagina of both groups were basically the same, but the vagina length of the Sigmoid Group (10 8±1 1 cm) was significantly greater than that of the Peritoneal Group (9 0±0 8 cm) ( t =-4 882, P =0 000). Among the Sigmoid Group, 3 cases had somewhat more amount of vaginal secretion and 4 cases had abnormal-smelling secretion. Patients in both groups reported the same satisfactory degree of sexual life. Conclusions Laparoscopic peritoneal vaginoplasty and sigmoid loop vaginoplasty present a similar therapeutic efficacy, but the former gives less surgical invasion than the latter.

关 键 词：先天性无阴道 阴道成形术 乙状结肠 腹膜 腹腔镜 

分 类 号：R713.31[医药卫生—妇产科学]