腹腔镜腹膜阴道成形术与羊膜代阴道成形术的临床效果比较  

Compartment of the therapeutic efficacy between laparoscopic peritoneal vaginoplasty and amniotic membrane vaginoplasty

作　　者：李静玲[1] 马刚[1] 朱红[1] 

机构地区：[1]广西壮族自治区人民医院妇科,广西南宁530021

出　　处：《中国妇幼保健》2011年第20期3170-3172,共3页Maternal and Child Health Care of China

摘　　要：目的:比较腹腔镜腹膜阴道成形术与羊膜代阴道成形术的疗效。方法:20例先天性无阴道采用腹腔镜腹膜阴道成形术10例(腹膜阴道成形术组),羊膜代阴道法10例(羊膜代阴道组)。结果:两组手术均成功,无手术并发症,腹膜阴道成形术组手术时间(120±46.16)m in,羊膜代阴道组手术时间(188±73.17)m in(P<0.05);腹膜阴道成形术组术中出血(71±7.15)m l,羊膜代阴道组出血(112±23.17)m l(P<0.05);腹膜阴道成形术组阴道长度(10.0±0.17)cm,羊膜代阴道组阴道长度(6.14±0.16)cm,两组比较有统计学差异(P<0.05),腹膜阴道成形术组性生活满意程度比羊膜代阴道组高。结论:腹腔镜腹膜阴道成形术具有创伤小、手术时间短、简单、安全、不易损伤膀胱尿道与直肠、不破坏外阴形态、形成阴道符合阴道生理状态等优点,达到微创手术的目的,是理想的阴道成形方法。Objective：To compare the therapeutic efficacy between laparoscopic peritoneal vaginoplasty and amniotic membrane vaginoplasty.Methods：A total of 20 cases of congenital absence of vagina received either laparoscopic peritoneal vaginoplasty（peritoneal group,n=10） or amniotic membrane vaginoplasty（amniotic membrane group,n=10）.Results：Both groups had no surgical complications or postoperative pyrexia.The operating time of peritoneal group（（120 ±46.16） min） was significantly shorter than that of amniotic membrane group（（188 ±73.17） min）.And the intraoperative blood loss of the former（（71 ±7.15）ml）was significantly less than that of the latter（（112 ±23.17） ml）（P0.05）,but the vagina length of peritonea group（（10.0±0.17）cm）was significantly greater than that of amniotic membrane group（（6.14 ±0.16）cm）（P0.05）.The satisfactory degree of sexual life of peritonea group was significantly greater than that of amniotic membrane group.Conclusion：Laparoscopic peritoneal vaginoplasty is a safe operation that guarantees minimal invasion,short operation time and less complication.The artificial vagina shows natural mucosa and the expected function.

关 键 词：先天性无阴道 腹腔镜 腹膜 羊膜 阴道成形术 

分 类 号：R713.31[医药卫生—妇产科学]