腹腔镜腹膜阴道成形术的临床研究  

A clinical study of taking shape of vagina by peritoneum via Laparoscopic

作　　者：汪利群[1] 程玉芬[1] 黄欧平[1] 

机构地区：[1]江西省妇幼保健院,330006

出　　处：《中国妇幼保健》2006年第22期3156-3158,共3页Maternal and Child Health Care of China

基　　金：江西省卫生厅资助项目

摘　　要：目的探讨腹腔镜腹膜阴道成形术在妇科领域的应用价值。方法回顾性分析腹腔镜腹膜阴道成形术16例(研究组)和传统方法羊膜阴道成形术16例(对照组)患者的手术情况和术后情况。结果两组患者在年龄、病史、症状体征等方面无显著差异(P>0.05)。研究组术中出血(61±7.5)ml,对照组出血(102±23.7)ml(P>0.05);研究组手术时间(100±46.6)min,对照组手术时间(168±73.7min)(P<0.05);研究组术后有尿路刺激症状者仅1例,而对照组有尿路刺激症状者9例;研究组术后不良反应较对照组大为减少;研究组阴道长度(9.3±0.7)cm,宽度(3.5±0.6)cm,对照组阴道长度(5.4±0.64)cm,宽度(2.3±0.5)cm,两组有显著性差异(P<0.05),研究组性生活满意程度比对照组高。结论腹腔镜腹膜阴道成形术,是一种更安全、有效、创伤小的手术方式,可以提高先天性无阴道患者的生活质量。Objective： To discuss the value of taking shape of vagina by peritoneum via Laparoscopic in gynecologic field. Methods： Retrospective analysis the conditions of the operation of 16 patients undergoing the surgery of taking shape of vagina by peritoneum via Laparoscopic （study group ） and 16 patients （control group） undergoing tradition surgery of taking shape of vagina by amnion . Results： The average operative time and blood loss in study group were 100±46. 6 minutes and 61±7. 5ml respectively; while in control group were 168±73.7 minutes and 102±23. 7ml. The badness reaction after operate in study group was more less than control group. The vaginal length of study group was 9. 3±0. 7 cm , while in control group was 5. 4±0. 6 cm, the width of study group was 3. 5±0. 6cm, while in control group was 2. 3±0. 5cm. Concluion： The mode of taking shape of vagina by peritoneum via Laparoscopic is safe and effective and less traumatic , and it can reform the patients＇life quality.

关 键 词：腹腔镜 腹膜 阴道成形术 

分 类 号：R713.30[医药卫生—妇产科学]