保留细微结构的改良边缘法小阴唇及阴蒂包皮复合整形术的临床应用研究  

Clinical application of modified edge resection technique for composite labia minora and clitoral hood reduction with preserved microstructures

作　　者：杨堃 段育任 李强 YANG Kun;DUAN Yuren;LI Qiang(Department of General Plastic Surgery,Plastic Surgery Hospital,Chinese Academy of Medical Sciences and Peking Union Medical College,Beijing,100144,P.R.China)

机构地区：[1]中国医学科学院北京协和医学院整形外科医院综合整形科,北京100144

出　　处：《中国修复重建外科杂志》2025年第4期478-482,共5页Chinese Journal of Reparative and Reconstructive Surgery

摘　　要：目的探讨保留细微结构的改良边缘法小阴唇及阴蒂包皮复合整形术的疗效。方法回顾分析2022年9月—2024年12月收治的36例阴蒂包皮增生合并单侧或双侧小阴唇肥大的女性患者临床资料。患者年龄18~45岁,平均27.4岁。就诊原因:单纯外观不佳8例,单纯功能障碍14例,外观不佳合并功能障碍12例,心理因素2例。患者均接受保留细微结构的改良边缘法小阴唇及阴蒂包皮复合整形术。术中对阴蒂阴唇衔接部位进行精细调整,优化小阴唇前端结构,以确保术后外观自然、功能完整。术后随访评估阴蒂包皮及阴唇外观、功能改善情况,有无并发症,患者总体满意度。结果术后1例切口愈合欠佳,其余患者无术后出血及血肿、缝合切口裂开、缝线切割,以及小阴唇水肿、增大等愈合不佳或外形不佳情况发生。30例患者获随访,随访时间1~6个月,平均2.4个月。术后早期2例自觉双侧小阴唇不对称,其中1例行小阴唇修整术,1例未作处理并基本恢复对称。末次随访时,25例患者术前功能障碍得到不同程度缓解,其余5例无变化。27例患者自觉外观不同程度改善,2例无变化,1例较术前变差。患者总体满意度评价达非常满意16例、满意8例、一般5例、不满意1例,满意率80%(24/30)。结论保留细微结构的改良边缘法小阴唇及阴蒂包皮复合整形术通过精细调整阴蒂阴唇衔接处结构,保留并优化自然细微结构,减少了术后并发症,术后外观和功能满意度高。Objective To investigate effectiveness of the modified edge resection technique for composite labia minora and clitoral hood reduction with preserved microstructures.Methods A retrospective analysis was conducted on 36 female patients,who were diagnosed with composite hypertrophy of the labia minora and clitoral hood and admitted between September 2022 and December 2024.The patients’ages ranged from 18 to 45 years(mean,27.4 years).The primary surgical motivations included poor appearance alone(8 cases),functional impairment alone(14 cases),both poor appearance and functional impairment(12 cases),and psychological factors(2 cases).All patients were treated with the modified edge resection technique for composite labiaminora and clitoral hood reduction with preserved microstructures.The surgical technique emphasized precise adjustments to the clitoral-labial junction and optimization of the anterior labial structure to ensure a natural postoperative appearance and functional integrity.Postoperative follow-up assessed improvements in appearance and function of clitoral hood and labia minora,complications,and overall patient satisfaction.Results One patient exhibited suboptimal wound healing,while the remaining patients experienced no complications such as postoperative bleeding,hematoma,wound dehiscence,suture cutting,or labial edema and enlargement.Thirty patients were followed up with a duration of 1-6 months(mean,2.4 months).In the early postoperative period,2 patients perceived asymmetry of the bilateral labia minora;1 underwent labial revision surgery,while the other achieved near-symmetry without intervention.At last follow-up,25 patients experienced varying degrees of relief from preoperative functional impairments,while the remaining patients showed no improvement;27 patients reported varying degrees of improvement in appearance,2 reported no change,and 1 reported a worse appearance compared to preoperatively.Sixteen patients were very satisfied with the surgical results,8 were satisfied,5 were moderate sa

关 键 词：小阴唇 阴蒂包皮 复合增生 生殖器细微结构 阴唇缩小整形术 

分 类 号：R713[医药卫生—妇产科学]