摘要
目的 比较三种阴道成形术的优缺点 ,寻找损伤小 ,疗效好的手术方式。方法 1979年 1月～1998年 12月对 86例先天性无阴道患者 ,分别采用腹部皮片、胎儿皮及阴股沟皮瓣阴道成形术 ,对手术时间、住院时间、供皮区切口愈合和阴道湿润度进行对比观察。结果 胎儿皮与腹部皮片、阴股沟皮瓣相比 ,手术时间最短 (P<0 .0 1) ;胎儿皮的住院时间短于腹部皮片 (P<0 .0 1) ,与阴股沟皮瓣比较无显著差异 (P>0 .0 5 ) ;胎儿皮无供皮区 ,损伤最小 ,且人工阴道湿润度最高 (P<0 .0 1)。结论 胎儿皮阴道成形术损伤小 ,再造的人工阴道近似正常女性阴道 。
Objective To select a satisfactory surgical approach in vaginoplasty with minimum injury and maximum effectiveness. Methods From January 1997 to December 1998, 86 cases of congenital absence of vagina were treated by three types of vaginoplasty, using abdominal skin graft, fetal skin graft and vulvar-inguinal skin flap respectively. The duration of operation and hospitalization, the wound healing of donor site, as well as the moist sensation of the artificial vagina and the sexual life quality were compared among the three types of vaginoplasty. Results Compared with those by abdominal skin graft and vulvar-inguinal skin flaps, the vaginoplasty by fetal skin graft had the shortest surgical duration ( P <0.01); the duration of hospitalization with fetal skin grafting was shorter than that of abdominal skin grafting ( P <0.01) but almost the same as that of vulvar-inguinal skin transferring ( P >0 05). The fetal skin grafting had minimum injury. Moreover, artificial vagina by fetal skin grafting had the best moist sensation and the most satisfactory sexual life quality ( P <0.01). Conclusion In view of the minimum injury and maximum mimic of nature vagina, the vaginoplasty by fetal skin graft is the most ideal approach among the three types of vaginoplasty investigated in this trial.
出处
《中国修复重建外科杂志》
CAS
CSCD
2001年第2期104-105,共2页
Chinese Journal of Reparative and Reconstructive Surgery
关键词
阴道成形术
腹部皮片
胎儿皮
阴股沟皮瓣
手术方式
Vaginoplasty Abdominal skin graft Fetal skin graft Vulvar-inguinal skin flap
