摘要
目的 探讨先天性无阴道患者的临床特征及多种手术方法治疗效果 ,以指导手术方案选择及预防术后并发症发生。 方法 回顾性分析我院 1979～ 2 0 0 2年住院治疗的 12 6例先天性无阴道患者的临床情况 ,治疗及预后。 结果 先天性无阴道患者合并泌尿系畸形 31 3% ,肌肉骨骼畸形 6 4%。 12 6例患者除 6例接受 2次或 2次以上手术 ,余均获治愈 ,近 10年来手术方法以下腹壁皮下蒂岛状瓣及阴股沟皮瓣再造阴道为主。 结论 结合患者自身条件及各种手术方法的特点选择手术方案 ,术中防止直肠、尿道损伤 。
Objectives To investigate the clinical features and therapeutic results of multiple approaches for congenital absence of the vagina, and to find out the prevention of complications and reconstrution method. Methods We analysed retrospectively 126 patients with congenital absence of the vagina from 1979 to 2002. Results Congenital absence of the vagina occurred in 31.25% urinary tract anomalies and 6.35% musculoskeletal anomalies. Of the 126 patients, 6 received 2 or more than 2 operations, the remaining recovered after reconstruction of the vagina by using the inferior abdominal wall skin flap and pudendal-thigh skin flap. Conlusions The technigues should be selected according to the conditions of the patient and features of multiple approaches. Damage to the rectum and urinary tract should be avoided in addition to postpoeritive retractation or prolapse of flaps and stenosis of the vaginal orifice.
出处
《中华外科杂志》
CAS
CSCD
北大核心
2002年第8期589-591,共3页
Chinese Journal of Surgery
关键词
阴道闭锁
泌尿外科手术方法
阴道再造术
Gynatresia
Urologic surgical procedures
Vaginal reconstruction
