改良腹腔镜下腹膜代阴道成形术在先天性无阴道中的应用  

The application of improved laparoscopy-assisted peritoneum vaginoplasty in the MRKH syndrome

作　　者：纪妹[1] 史惠蓉[1] 赵曌[1] 符庆瑞[1] 刘会敏[1] 苏玥辉[1] 

机构地区：[1]郑州大学第一附属医院妇产科,河南郑州450052

出　　处：《中国内镜杂志》2013年第2期142-144,共3页China Journal of Endoscopy

基　　金：河南省卫生厅<改良腹腔镜下腹膜代阴道成形术与传统阴道成形术的对比研究>(No.2011020032)

摘　　要：目的探讨改良腹腔镜下腹膜代阴道成形术在先天性无阴道患者中的应用及疗效。方法 2008年8月～2011年11月对29例患者应用腹腔镜腹膜代阴道成形手术,且采用始基子宫及阴道板使阴道顶端加固。结果 29例手术均顺利完成。手术时间80～120min,平均90min;术中出血量30～100mL,平均60mL;术后住院时间5～8d,平均6.2d;无任何手术并发症发生;患者均术后随访:外阴恢复正常形态,阴道壁光滑,黏膜粉红,湿润,弹性良好,无异味产生及性交不适。结论改良腹腔镜下腹膜代阴道成形术微创、术后恢复时间短、效果满意,值得推广。[Objective] To study the application and effect of improved laparoscopy-assisted peritoneum vaginoplasty in the congenital absence of vagina patients. [Methods] The vaginal top with primordial uterus and vaginal plate was reinforced under the laparoscope. The improved laparoscopy-assisted peritoneum vaginoplasty cured 29 congenital absence of vagina patients. [Results] The surgery was successfully completed in all the cases.The mean operation time and blood loss was 90 min （80～120 min） and 60 mL （30～100 mL） respectively, with no intra-operative or postoperative complication occurred. Follow-up was available in all the patients. Vulva recovered normal form, the vaginal walls with pink mucousa were smooth, wet, flexible, no foreign smell or sexual discomfort. [Conclusions] The improved laparoscopy-assisted peritoneum vaginoplasty is satisfying for minimally invasive, short postoperative recovery time. It is worthy to be popularized.

关 键 词：腹腔镜 腹膜 阴道成形术 先天性无阴道 加固 

分 类 号：R713.31[医药卫生—妇产科学]