利用阴道黏膜行处女膜成形术的临床应用  

Clinical application of local vaginal mucosa for hymenoplasty

作　　者：陈容容[1] 邹敬江 孙赛[1] 张碧芳[1] 冯伟杰[1] 夏学颖[1] Chen Rongrong;Zou Jingjiang;Sun Sai;Zhang Bifang;Feng Weijie;Xia Xueying(Department of Medical Cosmetology,Guangdong Wemen and Children Hospital,Guangzhou 511442,China)

机构地区：[1]广东省妇幼保健院医学美容科,广州511442

出　　处：《中华整形外科杂志》2021年第3期289-294,共6页Chinese Journal of Plastic Surgery

摘　　要：目的探讨利用阴道黏膜的处女膜成形术在阴道口宽大或处女膜裂口较深患者的临床应用效果。方法回顾性分析2018年1月至2020年3月广东省妇幼保健院医学美容科收治的因阴道口宽大或处女膜裂口较深的处女膜裂伤行手术修复的患者资料。18例患者年龄18~35岁,平均26岁。设计切口位置,眼科剪水平修剪处女膜缘,裂隙处边缘同样做水平方向修剪,向阴道内分离阴道黏膜,深度约2 cm,形成类似波浪线的切缘。将阴道黏膜下肌层以5-0可吸收线做拉拢减张缝合固定,形成新的处女膜外缘,阴道黏膜以6-0可吸收线在阴道内从里向外做间断缝合,外层的黏膜纵向缝合抬高处女膜缘基底,在处女膜成形的同时缩小阴道外口。术前、术后拍照,评估切口愈合情况,随访术后是否"见红",调查满意度。采用描述性方法进行统计分析。结果术后1个月复诊,18例患者切口愈合率为94.44%(17/18),指检仅容纳1指宽,且有轻微疼痛感。术后6~12个月电话或微信随访,10例表示已有初次性生活并全部"见红",3例尚无性生活,5例失访;非常满意10例,满意2例,总体满意率为92.31%(12/13)。结论对于阴道口宽大、处女膜裂口较深的患者,利用阴道壁黏膜减张行处女膜成形术临床效果较好。Objective To investigate the clinical efficacy of a new method of hymenoplasty using local vaginal mucosa.Methods A total of 18 patients with wide vaginal opening or deep laceration of hymen,admitted by Guangdong Wemen and Children Hospital from January 2018 to March 2020 were enrolled.The edge of the hymen was trimmed horizontally for a new incision,while the edge of the crack was also trimmed horizontally separating the vaginal mucosa into the vagina,about 2 cm deep,forming a wavy line-like cutting edge.The submucosa of the vaginal mucosa was stretched and sutured to form the outer edge of the new hymen.The vaginal mucosa was intermittently sutured from the inside to the outside with a 6-0 absorbale thread.The marginal base narrowed the external vaginal opening while the hymen was formed.Photos were taken for patients before operation and 1 month after operation.Satisfaction was monitored during postoperative follow-up.Results One month after the operation,the incision healing rate of the 18 patients was 94.44%(17/18).The finger examination only accommodated one finger wide,and there was slight pain.During the 6-12 months follow-up by phone or WeChat,10 cases indicated that they had sex for the first time and all their hymen were ruptured again with bleeding.The remaining 3 cases had no sex and the other three were lost to follow-up.The satisfaction survey showed excellent outcomes in 10 patients and good outcomes in 2 patients.The total satisfaction rate was 92.31%(12/13).Conclusions This study demonstrates that hymen reformation using local vaginal mucosa can achieved satisfactory outcomes in patients with wide vaginal opening or deep laceration of hymen.

关 键 词：处女膜 撕裂伤 修复外科手术 阴道黏膜 

分 类 号：R713.3[医药卫生—妇产科学]