腹腔镜下单叶腹膜代阴道成形术52例临床分析  

The Clinical Ananlysis of 52 Cases of Laparoscopic Vaginoplasty Using Single Piece of Peritoneum

作　　者：赵喜娃[1] 陈书成[1] 张辉[1] 张正茂[1] 李利[1] 张军[1] 康山 

机构地区：[1]河北医科大学第四医院,河北石家庄050011

出　　处：《实用妇产科杂志》2013年第8期589-591,共3页Journal of Practical Obstetrics and Gynecology

摘　　要：目的:探讨腹腔镜下单叶腹膜代阴道成形术治疗先天性无阴道的手术技巧及临床应用价值。方法:回顾性分析52例先天性无阴道患者行腹腔镜下单叶腹膜代阴道成形术患者的临床资料,观察手术时间、术中出血量、术后阴道情况及患者性生活满意度。结果:52例患者手术均获得成功,平均手术时间为71.44±18.99分钟,术中出血49.78±19.59ml。术后随访时间1个月至8年:人工阴道深度为9.46±0.68cm,阴道黏膜红润、柔软、弹性好,已婚者FSFI评估性生活满意度,总评分为27.84±2.76分。结论:腹腔镜下单叶腹膜代阴道成形术治疗先天性无阴道具有操作简便、安全、微创、效果好等优点。Objective ：To investigate the surgical skill and clinical value of laparoscopic vaginoplasty using single piece of peritoneum on congenital absence of vagina. Methods：The clinical data of 52 patients with congenital absence of vagina receiving laparoscopic vaginoplasty using single piece of peritoneum were retro- spectively analyzed. The operation time, blood loss volume and postoperative function of vagina were ob- served. Results：All 52 patients received successful operations. The mean operation time was 71.44 ~ 18.99 minutes, and the mean blood loss volume was 49.78 ~ 19.59 ml. All patients were followed up for 1 month ~ 8 years. The mean length of post-operative vagina was 9.46 ~ 0.68 cm. Artificial vagina mucosa was smooth,ruddy and flexible,which could meet the physiological demand. The mean score of FSFI which was conducted in married patients to evaluate the sex life quality was 27. 84 ± 2.76. Conclusions： Laparoscopic vaginoplasty using single piece of peritoneum is a convenient, safe, minimally invasive and reliable surgery for cdngenital absence of vagina and worthy of being widely applied in clinic.

关 键 词：腹腔镜 单叶腹膜 阴道成形术 先天性无阴道 

分 类 号：R713.31[医药卫生—妇产科学]