腹腔镜腹膜代阴道成形术与腹腔镜辅助乙状结肠代阴道成形术的对比分析  

Comparative analysis on laparoscopic peritoneal vaginoplasty and laparoscopically assisted sigmoid colon vaginoplasty

作　　者：吴晓梅[1] 严沁[1] 蔡斌[1] 贺银燕[1] 丰有吉[1] 席晓薇[1] 万小平[1] 

机构地区：[1]上海交通大学附属第一人民医院妇产科,上海200080

出　　处：《中国妇幼保健》2015年第17期2823-2825,共3页Maternal and Child Health Care of China

基　　金：上海市科学技术委员会生药处引导项目〔124119a5400〕

摘　　要：目的:探讨腹腔镜腹膜代阴道成形术与腹腔镜辅助乙状结肠代阴道成形术在先天性无阴道疾病治疗中的临床应用价值。方法:选取2003年1月~2013年12月该院收治的40例先天性无阴道患者,其中25例行腹腔镜辅助乙状结肠代阴道成形术为结肠组,15例行腹腔镜腹膜代阴道成形术为腹膜组,比较两种术式的围手术期参数及术后疗效。结果:40例患者均在腹腔镜下成功完成手术,腹膜组手术时间、术中出血量、住院时间及住院费用均优于结肠组,两组比较,差异有统计学意义(P<0.05)。术后随访发现,两组性功能指数量表(FSFI)总评分比较,差异无统计学意义(P<0.05)。结论:腹腔镜腹膜代阴道成形术和腹腔镜辅助乙状结肠代阴道成形术术后疗效相仿,但腹腔镜腹膜代阴道成形术更方便、经济、微创,值得临床推广应用。Objective： To explore the clinical application value of laparoscopic peritoneal vaginoplasty and laparoscopically assisted sigmoid colon vaginoplasty in treatment of congenital absence of vagina. Methods： Forty patients with congenital absence of vagina treated in the hospital from January 2003 to December 2013 were selected and divided into colon group and peritoneum group, 25 patients in colon group were treated with laparoscopically assisted sig^noid colon vaginoplasty, while 15 patients in peritoneum group were treated with laparoscopie peritoneal vaginoplasty; the perioperative parameters and postoperative curative effects in the two groups were compared, Results： The operation was completed successfully under laparoscope in all the 40 patients. The operation time, the amount of blood loss during operation, hospitalization time, and hospitalization fee in peritoneum group were better than those in colon group （ P〈O. 05 ） . Postop- erative follow-up found that there was no statistically significant difference in the total score of FSFI between the two groups （P〈O. 05） . Conclusion： The postoperative curative effects of laparoscopic peritoneal vaginoplasty and laparoscopically assisted sigmoid colon vaginoplasty in treatment of congenital absence of vagina are similar, but laparoscopic peritoneal vaginoplasty is more convenient, economical, and less invasive, so it is worthy to be widely applied in clinic.

关 键 词：腹腔镜 先天性无阴道 腹膜 乙状结肠 阴道成形术 

分 类 号：R713.31[医药卫生—妇产科学]