乙状结肠法人工阴道成型术术后远期疗效观察  

Observation of the long-term results of sigmoid vaginoplasty in the patients with MRKH

作　　者：宋宁[1] 张淑兰[1] 

机构地区：[1]中国医科大学附属盛京医院妇产科,辽宁沈阳110004

出　　处：《中国现代医学杂志》2011年第36期4540-4542,4546,共4页China Journal of Modern Medicine

摘　　要：目的探讨乙状结肠法人工阴道成型术术后远期疗效。方法选择1985年3月～2006年12月于我院实施乙状结肠法人工阴道的病例70例,按照术后年限分为两组,术后年限在10年内者为甲组,术后年限为10年以上者为乙组,采用电话及信访问卷调查的方式根据女性性功能指标量表中的内容量化患者近期的性功能情况。对比术后不同年限患者的性功能情况。同时通过回顾历史资料和电话调查的方式了解术后并发症的发生情况。结果在阴道润滑及性欲望乙组得分低于甲组,P<0.05,两者有统计学意义;性兴奋、性高潮、性交痛、性满意度指标两组P>0.05,无统计学意义;两组间FSFI总分乙组略低于甲组,但两者间P>0.05无统计学意义。术后发生人工阴道口狭窄1例,人工阴道肠黏膜脱垂4例,人工阴道肠黏膜癌变1例。结论乙状结肠法形成的人工阴道术后远期仍能达到患者满意的性生活,可以提高患者的生存质量。虽然远期有移植肠段脱垂和癌变的风险,但发生机率较低。从长远角度来看乙状结肠法仍是较理想的人工阴道形成方法。[ Objective ] To discuss the long-term results of sigmoid vaginoplasty. [ Methods ] Chose 70 patients who had ever performed the sigmoid vaginoplasty from March 1985 to December 2006 in our hospital. They were divided into two groups according to the years after operations. Patients in the first 10 years were labeled Group A and patients beyond the first 10 years were labeled Group B. We evaluated the resent sexual functions of 70 patients by FSFI which were got by telephone visiting and questionnaires and compared them between the two groups. At the same time we found the complications after operations. [ Results ] The scores of Group B were lower than that of Group A in vaginal lubrication and sexual desire （P 〈0.05）, which had significantly statistical difference. There was no statistical difference between the two groups in sexual excitement, orgasm, sexual pain and sexual satisfaction （P 〉0.05）. The total scores of Group B was a little lower than that of Group A, but there was no statistical difference （P 〉0.05）. There was 1 case of artificial vagina stenosis, 4 cases of mucosal prolapse of artificial vaginal and 1 case of caneration of the mucosa of artificial vaginal after operations among 70 patients. [ Conclusion ] Patients who have ever performed the sigmoid vaginoplasty can get satisfied sexual life and improve the qualities of their lives. Although there are risks of prolase of transplanted intestine and canceration in long-term, but the chance is very small. So in long term sigmoid artificial vaginoplasty is still the better treatment for the patient with MRKHS.

关 键 词：先天性无阴道 阴道成形术 乙状结肠 生活质量 

分 类 号：R713.31[医药卫生—妇产科学]