摘要
目的探讨应用1972年Rothman首创并经过改进的一种更加微创、符合生理、满足患者生理要求的阴道再造手术方法。方法于会阴部造穴,在腹腔镜辅助下应用腹膜再造阴道衬里,关闭盆底腹膜、切开远端的腹膜以形成顶端为盲端的阴道。结果2005年3月至2006年9月,将该方法用于诊断为先天性无阴道的患者10例。年龄最大32岁,最小19岁。手术平均用时2.34h。平均住院20.5d。随访3~12个月,无手术并发症,性生活满意。结论腹腔镜辅助下带蒂腹膜代阴道黏膜的阴道成形术是一种较为理想的阴道再造术术式。
Objective To practice a more atraumatic,physiological and aesthetically valued approach of construction for neovagina. Methods Laparoseopieally using peritoneum as neovaginal lining. Results From March 2005 to September 2006, this technique was adopted to treat 10 patients whose diagnosis was congenital absence of vagina. The ages of the patients were from 19 to 32. The operation lasted average 2.34 hours. And hospitalization was about 20.5 days. Follow-up ranged from 3 - 12 months. No complication occurred. All of the patients was satisfied with their sexual life. Conclusions Laparoscopically assisted neovaginaplasty, in which peritoneum was substituted for vaginal mucous membrane, was a kind of ideal approach of vaginal creation.
出处
《中华整形外科杂志》
CAS
CSCD
北大核心
2008年第2期129-130,共2页
Chinese Journal of Plastic Surgery
关键词
腹膜
腹腔镜
阴道成形术
Peritoneum
Laparoseopes
Vaginoplasty