摘要
目的 :比较采用腹部皮片、胎儿皮、阴股沟皮瓣行人工阴道成形手术方法的优、缺点。方法 :先天性无子宫无阴道患者86例 ,行腹部皮片阴道成形 38例 ,胎儿皮阴道成形术 2 7例 ,阴股沟皮瓣阴道成形术 2 1例。结果 :除 1例腹部皮片塌陷失败外 ,其余均获成功。三者比较 ,腹部皮片阴道成形手术住院时间长 ,供皮区易裂开 ,切口延期愈合 ,人工阴道干燥 ,性生活满意度较低。胎儿皮手术患者住院时间最短 ,损伤小 ,人工阴道湿润度及性生活满意度均高 (P <0 .0 0 5 )。阴股沟皮瓣在这几个方面介于其中 ,术后不带阴道模型为其优点。结论 :胎儿皮阴道成形术 ,损伤小 ,外阴形态正常 ,成活的胎儿皮呈粘膜样改变 。
?Objective:To compare the advantages and disadvantages of three types of vaginoplasty.Methods:Eighty-six cases of congenital absence of vagina were operated by vaginoplasty with abdominal skin graft(38 cases),fetal skin graft(27 cases) and vulvoinguinal skin graft(21 cases).Results:All the patients were in good condition after operation except one with the abdominal skin graft collapsed.The patients of vaginoplasty with abdominal skin graft needed a longer time of operation,hospitalization,wound healing,had a dry artificial vagina and a dissatisfactory coitus.The patients with vaginoplasty with fetal skin graft had a shorter time of hospitalization,small lesions and a satisfactory smooth sensation of artificial vagina( P <0.005).The patients of vaginoplasty with vulvoinguinal skin graft needn't have a pattern tool into artificial vagina,but this type of vaginoplasty was not as good as that with fetal skin graft in many aspects.Conclusions:Among three types of vaginoplasty the one with fetal skin graft was the best.Its main advantages were:the patietns recovered postoperatively were more close to normal persons physiologically and psychologically. 〔
出处
《蚌埠医学院学报》
CAS
2000年第3期181-183,共3页
Journal of Bengbu Medical College
