摘要
目的探讨腹腔镜下腹膜代阴道成形术创面愈合的影响因素，以促进术后创面愈合。方法回顾分析13例先天性无阴道患者腹腔镜下腹膜代阴道成形术的临床资料，了解术后创面愈合时间、愈合情况、及愈合过程中阴道分泌物性状并进行效果评估。结果13例患者术后创面完全愈合时间为（26±17．8）天，术后阴道创面完全上皮化过程中有8例出现少量阴道流血，1例有阴道炎发生，除3例患者仅随访2个月外，10例患者随访性生活均满意。结论影响腹腔镜下腹膜代阴道成形术创面愈合的因素可能有术中腹膜游离的程度、术后创面的处理、佩戴模具的选择及佩戴模具的时间。
Objective To investigate the influencing factors for wound healing in patients under- going laparoscopic peritoneal vaginoplasty and to promote the healing in postoperative wounds. Methods We retrospectively analyzed the clinical data on 13 patients with congenital absence of vagina who had undergone laparoscopic peritoneal vaginoplasty. Time to wound healing, healing status of the wounds, and features of vaginal discharge during wound healing were noted. The efficacy of the procedure was assessed. Results The mean time to wound healing time was （ 26± 17.8 ） days. 8 patients developed slight vaginal bleeding during the epithelization of wound healing and one occurred vaginitis. 3 patients were followed up for only 2 months while the remaining 10 were satisfied with their sex life. Conelusions The influencing factors for wound healing in patients undergoing laparoscopic peritoneal vaginoplasty may include the degree of peritoneal separation, postoperative wound care, mold selection, and the timing of wearing a mold.
出处
《国际医药卫生导报》
2010年第13期1577-1579,共3页
International Medicine and Health Guidance News
