改良Vechitti阴道成形与腹膜阴道成形术的对比研究  

Comparative study of laparoscopy-assisted Vechitti vaginoplasty and vaginoplasty with peritoneum

作　　者：董丽霞[1] 陈树波[2] 

机构地区：[1]河北医科大学附属邢台市人民医院妇科,054001 [2]河北医科大学附属邢台市人民医院泌尿外科,054001

出　　处：《中华整形外科杂志》2011年第6期421-424,共4页Chinese Journal of Plastic Surgery

摘　　要：目的对比于腹腔镜下采用改良Vechitti阴道成形与腹膜阴道成形术的l临床效果。方法2005年1月至2011年3月，对43例患者于腹腔镜下分别行改良Vechitti阴道成形（改良Vechitti组，n=26）和腹膜阴道成形术（腹膜组，n=17），并分析比较了2组患者的手术用时、术中出血量，以及术后阴道长度和成形阴道的性状。结果改良Vechitti组26例均取得成功，仅1例于术后1个月模型脱出，经更换小一号模型逐渐扩张3d后再换回原大模型，结果预后良好。腹膜组17例均取得成功，无并发症发生。2组患者成形之阴道均宽敞，黏膜呈粉红色，有皱壁、润滑、弹性好，外阴外观也无改变，性生活均满意。改良Vechitti组的手术用时、术中出血量均较腹膜组少，但成形的阴道长度为（7．8±0．4）cm，明显短于腹膜组的（8．8±0．6）cm（t=6．45，P〈0．01）。结论腹腔镜腹膜阴道成形术手术操作相对复杂，手术时间长，但成形后的阴道长，阴道性状更接近正常女性，远期疗效也较好。Objective To compare the therapeutic effect of laparoscopy-assisted Vechitti vaginoplasty and vaginoplasty with peritoneum. Methods From Jan. 2005 to Mar. 2011, 43 cases of congenital absence of vagina were treated by laparoscopy-assisted modified Vechitti vaginoplasty （ n = 26 ） and by laparoscopy-assisted vaginoplasty with peritoneum （n = 17 ）, The duration of operation, the intraoperative biood loss, and the length, appearance of reconstructed vagina were compared between the two groups. Results All the patients were successfully treated with no complication. The mould fell out in one case in Vechitti group one month after operation, which was put back after 3 days of expansion with a smaller mould. The perineum appearance was not affected. The reconstructed vagina in both groups were wide with pink mucosa, good elasticity and smoothness. The intercourse process was satisfied. The duration of operation and intraoperative blood loss were less in Vechitti group than those in peritoneum group, but the reconstructed vagina length was （7.8 ± 0.4） cm in Vechitti group, and （ 8.8 ± 0.6） cm in peritoneum group, showing a significant difference （ t = 6. 45, P 〈 0. 01 ）. Conclusions Compared with Vechitti vaginoplasty, the laparoscopy-assisted vaginaplasty with peritoneum is comparatively complicated with longer operative duration, hut the reconstructed vagina is longer with better long-term effect.

关 键 词：腹腔镜 腹膜 阴道成形术 对比研究 

分 类 号：R713.3[医药卫生—妇产科学]