内外侧分区设计在小阴唇及阴蒂包皮复合增生治疗中的应用效果  

Application effect of divisional design in composite reduction labiaplasty

作　　者：张思娅[1] 陈凤超[1] 李峰永 Zhang Siya;Chen Fengchao;Li Fengyong(Medical Cosmetic Center,Beijing Friendship Hospital,Capital Medical University,Beijing 100050,China;The 10th Department,Plastic Surgery Hospital,Chinese Academy of Medical Sciences and Peking Union Medical College,Beijing 100144,China)

机构地区：[1]首都医科大学附属北京友谊医院医学美容中心,北京100050 [2]中国医学科学院北京协和医学院整形外科医院整形十科,北京100144

出　　处：《中华整形外科杂志》2022年第8期881-886,共6页Chinese Journal of Plastic Surgery

摘　　要：目的探讨内外侧分区设计在小阴唇及阴蒂包皮复合增生治疗中的应用效果。方法回顾性分析2020年1月至2022年2月首都医科大学附属北京友谊医院医学美容中心收治的小阴唇及阴蒂包皮复合增生患者的临床资料。患者小阴唇内侧面垂直方向上无松垂,外侧面表现出松垂、褶皱,同时合并阴蒂包皮增生。采用内外侧分区设计,将小阴唇外侧面及阴蒂包皮视为整体,设计楔形切口线,拟将其垂直方向上多余组织去除,在此基础上,设计外侧面弧形切口线,再将其投影至小阴唇内侧面,形成小阴唇内侧面弧形切口线,结合楔形切除法和边缘切除法进行小阴唇及阴蒂包皮复合增生的整形手术。随访观察患者术后并发症、小阴唇及阴蒂包皮形态对称情况、摩擦不适感改善情况、小阴唇及阴蒂包皮较术前清洁情况、患者对小阴唇及阴蒂包皮形态的满意度、术后性满足感有无变化。结果共纳入17例女性患者,年龄20~35岁,平均27岁。术后随访2个月,切口均一期愈合,切缘无锯齿样畸形,阴蒂包皮及小阴唇外形自然,患者自觉双侧小阴唇及阴蒂包皮完全对称3例、基本对称12例、部分不对称2例,2例部分不对称患者不要求进一步手术修复;17例患者摩擦不适感均完全改善,小阴唇及阴蒂包皮均较术前更易清洁。患者对外形非常满意5例、满意10例、不满意2例。有性生活经历者15例,10例术后性满足感提升,5例无变化。结论通过内外侧分区设计,采用楔形节除法和边缘切除法治疗小阴唇及阴蒂包皮复合增生,可在单次手术中解决小阴唇及阴蒂包皮增生所导致的摩擦不适、不易清洁的困扰,同时取得较好的美学效果。Objective To explore the clinical effect of the composite reduction labiaplasty by divisional design.Methods From January 2020 to February 2022,the clinical data of patients with complex labia minora and clitoris prepuce hypertrophy who were treated in the Medical Cosmetic Center of Beijing Friendship Hospital Affiliated to Capital Medical University were collected and analysed.The inner side of their labia minora showed no chalasis in the vertical direction,but the outer side were slack with folds,accompanied by clitoris prepuce hyperplasia.We adopted the composite reduction labiaplasty by divisional design.The outer side of the labia minora and the clitoral prepuce were considered as a whole,and a wedge-shaped incision line was designed to remove the excess tissue in the vertical direction.On this basis,an arc was projected on the inner side of the labia minora to form an arcuate incision line on the inner side.The composite reduction labiaplasty was performed with the combination of wedge resection and edge resection.The postoperative follow-up observations included:postoperative complications,the symmetry of the labia minora and clitoris prepuce,the improvement of frictional discomfort,the cleanliness of the labia minora and the clitoris prepuce,and the patient's satisfaction with the shape of the labia minora and clitoris prepuce.For patients with sexual experience,follow-up content also includes changes in sexual satisfaction.Results A total of 17 female patients aged 20 to 35 years,with an average age of 27 years,were included in this study.Follow-up was conducted 2 months after the operation.All incisions healed by first intention with no sawtooth-like deformity at the incision margin,and had natural appearance.Patients felt that the bilateral labia minora and clitoral foreskin were completely symmetrical in 3 cases,basically symmetrical in 12 cases,and partially asymmetric in 2 cases.These 2 cases of partial asymmetry did not require further surgical repair.In all 17 patients,the frictional discomfort wa

关 键 词：外科 整形 小阴唇 阴蒂 包皮 小阴唇缩小整形术 

分 类 号：R713.2[医药卫生—妇产科学]