应用腹腔镜腹膜代阴道成型术治疗先天性无阴道  

Surgical application of laparoscopic peritoneal vaginoplasty in congenital absence of vagina

作　　者：王黎娜[1] 郉玲玲 赵春艳[1] 同军[1] 张卓梅[1] 赵杉珊[1] 孔欣 王柳燕 

机构地区：[1]武警总医院妇产科,北京市100039 [2]武警广州总队医院妇产科 [3]武警重庆总队医院妇产科

出　　处：《中华实用诊断与治疗杂志》2010年第7期652-653,657,共3页Journal of Chinese Practical Diagnosis and Therapy

摘　　要：目的:探讨腹腔镜下行腹膜代阴道成型术治疗先天性无阴道的手术方法及治疗效果。方法:回顾性分析44例腹腔镜下腹膜代阴道成型术患者的临床资料,观察手术操作时间、术中出血量、术后阴道生长情况及患者性生活满意度。结果:43例患者手术成功,成功率97.7%,手术时间(63.40±13.98)min,术中出血量(74.25±17.75)mL,术后肛门排气(2.40±0.89)d。随访(7.65±2.23)个月,人工阴道均能容纳窥阴器,深度(8.80±1.30)cm,人工阴道黏膜光滑、红润,柔软度及弹性符合解剖结构及生理要求,已婚者述性生活正常。结论:腹腔镜下腹膜代阴道成型术安全性高、创伤小,效果满意。Objective To investigate the surgical treatment and therapeutic effect of laparoscopic peritoneal vaginoplasty on congenital absence of vagina.Methods The clinical data of 44 patients with congenital absence of vagina receiving laparoscopic peritoneal vaginoplasty were retrospectively analyzed.The operation time,blood loss volume and postoperative function of vagina were observed.Results Forty-three patients（97.7%）received successful operations.The operation lasted（63.40±13.98）minutes,and the blood loss volume was（74.25±17.75）mL.The time to passage of gas by anus was（2.40±0.89） days.All patients were followed up for（7.65±2.23）months.The length of vagina was（8.80±1.30）cm.Artificial vagina mucosa was smooth,ruddy and flexible,which was consistent with anatomical structures and could meet the physiological demand.Conclusion Laparoscopic peritoneal vaginoplasty is a safe,minimally invasive and reliable method for congenital absence of vagina.

关 键 词：先天性无阴道 腹腔镜 腹膜代阴道 

分 类 号：R473.71[医药卫生—护理学]