腹腔镜腹膜代阴道成形术24例临床分析  

Laparoscopically assisted peritoneum vaginoplasty：the report of 24 cases

作　　者：周健[1] 方媛媛[1] 李桂林[1] 粱丽[1] 

机构地区：[1]徐州市妇幼保健院妇科,江苏徐州221009

出　　处：《徐州医学院学报》2013年第1期53-55,共3页Acta Academiae Medicinae Xuzhou

摘　　要：目的探讨腹腔镜下腹膜代阴道成形术治疗先天性无阴道手术方法及治疗效果。方法回顾性分析24例腹腔镜下腹膜代阴道成形术患者的临床资料，观察手术操作时间、术中出血量、术后阴道生长情况及女性性功能指数（FSFI），评价手术效果。结果24例患者手术均成功，手术时间（62．40±11．45）min，术中出血量（64．25±14．75）ml。随访2～17个月，1例术后1个月未行模具扩张，致阴道瘢痕挛缩变浅变硬，1例阴道肉芽肿，同房少许出血，予LEEP息肉切除治愈。22例患者人工阴道均能容纳窥阴器，深度（8．70±1．50）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；有同房史者述性生活正常，FSFI评分与年龄匹配的正常女性差异无统计学意义。结论腹腔镜下腹膜代阴道成形术安全性高，创伤小，效果满意。Objective To investigate the technique and therapeutic effect of laparoscopy - assisted peritoneum vagi- nop]asty in the treatment of congenital absence of vagina. Methods A total of 24 cases of congenital absence of vagina received laparoscopic peritoneal vaginoplasty in our hospital. All cases were treated with laparoscopy - assisted peritoneum vaginoplasty. Results The operation were performed successfully in all the 24 cases. The operative time was （62.40± 11.45 ） rain. The volume of blood loss during operation was （ 64.25± 14.75 ） ml. Patients were followed up for 2 - 17 months, the cicatricle and contracture were found in 1 case and vaginal granuloma was found in another case. The vaginal length was （8.70 ± 1.50） cm in 22 cases. The surface of reconstructed vagina was smooth, ruddy and flexible,with satis- factory anatomical and functional results. Normal sexual activity was achieved in 16 cases. The FSFI sex factors score of these patients was 25.85 ±3.82, and the contrast score was 26.20 ± 3.62, no significant difference existed between the two scores. Conclusion laparoscopy - assisted peritoneum vaginoplasty is a minimally invasive procedure and has a good safe.

关 键 词：先天性无阴道 腹膜代阴道 腹腔镜手术 

分 类 号：R711.1[医药卫生—妇产科学]