阴道下段闭锁的手术治疗  

Surgical treatment of lower segment colpatresia

作　　者：苏志红[1] 何红[1] 常飞[1] 徐锦峰[1] 姚苏梅[2] 魏芬[2] 

机构地区：[1]兰州军区兰州总医院妇产科,甘肃兰州730050 [2]甘肃省人民医院妇产科

出　　处：《西北国防医学杂志》2006年第1期17-18,共2页Medical Journal of National Defending Forces in Northwest China

摘　　要：目的：探讨治疗阴道下段闭缩的手术方法与疗效。方法：分析总结1994-07～2004-12采用3种不同方法治疗17例阴道下段闭缩患者的疗效与随访结果。结果：采用阴道上段黏膜直接缝合法与小阴唇瓣法治疗的11例患者伤口均一期愈合，术后3个月～1年随访均未发生阴道下段狭窄；采用生物材料移植法治疗的6例，术后伤口经换药愈合，其中4例于术后3～6个月出现狭窄及不同程度的经血潴留，行二次手术治疗。结论：阴道上段黏膜直接缝合法与小阴唇瓣法是治疗不同程度阴道下段闭缩的良好方法，对严重阴道下段闭缩，生物材料移植法也不失为可以选择的治疗手段。Objective ：To probe the operative method and curative effect of lower segment colpatresia, Methods： From Jul. 1994 to Dec. 2004, 17 patients with lower segment colpatresia were treated with three different surgical methods, respectively. Their curative effects and follow - up results were analyzed. Results：The wounds of 11 patients treated with direct suture of high segment vagina mucomembrane and labia minor flap healed on the first stage. The follow - up result from three months to a year post - operation showed that colpostenosis and retained menstruation didnt appear. The wounds of 6 patients treated with biological material grafting healed two to three months post- operation by wound exchange. Colpostenosis and retained menstruation appeared in four patients three to six months post - operation and received the second operation. Conclusion： Direct suture of high segment vagina mucomembrane and labia minor flap are good surgical methods. To patient with severe lower segment colpatresia, biological material grafting might be a choice.

关 键 词：阴道闭缩 先天性畸形 手术治疗 

分 类 号：R713[医药卫生—妇产科学]