先天性阴道畸形阴道成形术66例临床分析  

Clinically Characteristic Analysis of 66 Patients Undergoing Vaginoplasty with Congenital Vaginal Anomalies

作　　者：李天[1] 濮德敏[1] 汪辉[1] 黎宁[1] 

机构地区：[1]华中科技大学同济医学院附属同济医院,湖北武汉430030

出　　处：《实用妇产科杂志》2007年第3期164-166,共3页Journal of Practical Obstetrics and Gynecology

摘　　要：目的:探讨阴道成形术患者的临床特点及术式选择。方法:回顾性分析66例先天性阴道畸形行阴道成形术患者的临床资料。结果:47例先天性无阴道患者中,8例伴周期性或不规则下腹痛(17.0%);19例阴道闭锁患者中16例伴下腹痛(84.2%)。乙状结肠法术后性生活满意率最高(75%),但手术时间和出血量均较多;改良的小阴唇皮瓣法术后外阴形态及创面恢复良好,性生活满意率高(66.7%)。结论:对合并下腹痛的先天性阴道畸形患者进行腹腔探查是十分必要的;对于小阴唇丰满者改良的小阴唇皮瓣法值得推广。Objective：To explore the clinical features and the therapeutic approach in women of congenital vaginal abnormity. Methods： A retrospective study was carried out on the clinical materials of 66 cases of vaginoplasty. Results： In 47 patients with congenital absence of type vagina,8 patients accompanied with cyclic or irregular pelvic pain （ 17.0% ）, 16 of 19 patients with vaginal atresia accompanied with pelvic pain （84.2%）. Patients treated with sigmoid loop for vaginoplasty reported most satisfactory coital function （75%） with longer operative time and more hemord＇lage. Patients undergoing reformative labia mlnora flap vaginoplasty had good configuration of vulvae and higher satisfactory of coital function （66,7%） after surgery, Conclusions： It is necessary of intraabdominal exploration in patients with pelvic pain. Reformative labia minora flap vaginoplasty should be a basic consideration for the patients who have plumy labia minora.

关 键 词：先天性无阴道 阴道闭锁 阴道成形术 

分 类 号：R713.31[医药卫生—妇产科学]