双平面平行裂隙环形减张缝合在处女膜修复术中的应用  

Application of dual-plane annular relaxation suture in hymenorrhaphy

作　　者：毛彤春[1] 刘晓伟[1] 雷泽源[1] 韦权娥[1] 李翔[1] 陈宇[1] 卢昊[1] 刘婷[1] 王韶亮[1] 张一鸣[1] 樊东力[1] 

机构地区：[1]第三军医大学新桥医院整形外科,重庆400037

出　　处：《局解手术学杂志》2013年第3期267-268,271,共3页Journal of Regional Anatomy and Operative Surgery

摘　　要：目的探索一种成功率较高、操作简单、损伤较小的处女膜修复方法。方法根据处女膜厚度选择瓦合式或斜面切口,在处女膜裂隙基底部剪除边长约2 mm的三角形阴道黏膜,经此三角形创面平行于处女膜裂隙切口环形减张缝合裂隙基底部阴道黏膜肌层及处女膜,实现处女膜的直接减张及阴道外口收紧的双重效果;内外侧黏膜切口直接缝合。术后随访。结果 51例应用此方法手术修复患者中44例(86.2%)效果满意,5例经二次修复伤口愈合,2例失访。结论双平面平行裂隙环形减张缝合是提高处女膜修复成功率、简化操作的有效方法之一。Objective To investigate a new and easy-to-master operation method for hymenorrhaphy with more success rate and less injury. Methods After making tile-like incision or slant incision according to the thickness of hymen, reseet a 2 mm triangular vaginal mucosa at the base of the broken hymen, and then make a dual-plane annular suture parallel to the broken fissure to obtain the effects of tension relief and then tight up the vaginal orifice. Results Among the 51 cases operated with this method, 44 cases （86.2%） got a good result, while 5 cases healed with a secondary repair and 2 cases were loss of following up. Conclusion This dual-plane annular suture method is more easy and more effective for improving the success rate of hymenorrhaphy.

关 键 词：处女膜修复术 阴道黏膜 处女膜减张缝合 

分 类 号：R713.21[医药卫生—妇产科学]