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[摘è¦]目的:探讨å°é˜´å”‡çš®ç“£æ³•åœ¨å…ˆå¤©æ€§é˜´é“é—é”的临床应用。方法:选择适宜的13例先天性阴é“é—é”患者,æ ¹æ®é˜´é“缺æŸçš„é‡è®¾è®¡åº”用部分或完全å°é˜´å”‡çš®ç“£è¿›è¡Œéƒ¨åˆ†æˆ–全阴é“å†é€ 。结果:所有手术获得æˆåŠŸ,å†é€ 阴é“å‡é€šç•…,湿润,光滑有弹性,有功能性å宫的病人月ç»æ£å¸¸,性生活满æ„,并有3例获æ£å¸¸å¦Šå¨ 分娩。结论:选择å°é˜´å”‡å‘育良好的病例应用å°é˜´å”‡çš®ç“£æ³•å†é€ 阴é“,其方法简便,æŸä¼¤å°,æ— å¤–æ˜¾ç˜¢ç—•,费用少,值得在临床选择推广应用。
[关键è¯]阴é“é—é”;皮瓣;阴é“æˆå½¢æœ¯;å°é˜´å”‡
[ä¸å›¾åˆ†ç±»å·]R713.3+1[æ–‡çŒ®æ ‡è¯†ç ]A[æ–‡ç« ç¼–å·]1008-6455(2010)07-0970-02
Treatment of congenital atresia of vagina with labia minor flap
WANG Bang-he,WANG Chun-lan,CAO Dong-sheng,DING Hao
(Department of Plastic Surgery,First Affiliated Hospital of Anhui Medical University,Hefei 230032,Anhui,China)
Abstract:ObjectiveTo explore the clinic application of labia minor flap for vagina reconstruction. Methods13 patients with congenital atresia of vagina have been treated with labia minor flap vaginoplasty. The size (degree) of vagina defect determines the employment of part or full labia minor flap. Their curative effects and follow-up results were analyzed.ResultsThe follow-up result from six months to sixty months post - operation showed all the operations were successful and the colpostenosis didn't appear in the end. The reconstructed vaginas were moist,elastic and smooth. The menstruation cycle was normal in patients with functional uterus. The couples have satisfactory sex life and 3 cases achieved normal pregnancy and delivery. Colpostenosis appeared in 2 patients due to disobey of medical orders on placing the vagina mold and received the second operation. With the vagina mold for 4-month after the 2nd operation, these 2 patients also got a satisfactory result.ConclusionsThe labia minor flap vaginoplasty to congenital atresia of vagina has a great value of application, with the advantages of simpleness,little injury, no scar of vulvar and lower cost.
Key words:congenital atresia of vagina; flap; vaginoplasty; labium minus
阴é“é—é”是胚胎å‘育期åŒä¾§ä¸è‚¾æ—管汇åˆåŽå°¾ç«¯ä¸Žå°¿ç”Ÿæ®–çª¦ç›¸æŽ¥å¤„å› å„ç§ç—…å› å‘育åœæ»ž,未能贯通所致,分为完全阴é“é—é”和部分阴é“é—é”。完全阴é“é—é”为阴é“管腔完全é—é”,å宫和/或åµå·¢å‘育ä¸è‰¯,æ— ç”Ÿè‚²åŠŸèƒ½;部分阴é“é—é”仅阴é“ä¸ä¸‹æ®µæˆ–下段é—é”,上段为æ£å¸¸é˜´é“,å宫和åµå·¢å‘育良好,功能æ£å¸¸ã€‚1994å¹´3月～2009å¹´3月,笔者选择性应用该方法æˆåŠŸæ²»ç–—先天性阴é“é—é”患者13例,å…¶ä¸éƒ¨åˆ†é˜´é“é—é”11例和完全阴é“é—é”2例。现报é“如下。
1临床资料
1.1 年龄:患者年龄12～22å²,å¹³å‡15å²ã€‚
1.2 临床症状åŠä½“å¾:ä¸´åºŠè¡¨çŽ°ä¸ºå‘¨æœŸæ€§è…¹ç—›è€Œæ— æœˆç»æ¥æ½®æˆ–应有月ç»æ¥æ½®è€Œæ²¡æœ‰,妇科检查第二性å¾æ˜Žæ˜¾,å‡æ— 阴é“,ç›´è‚ æŒ‡æ£€å¯æ‰ªåŠå›Šæ€§åŒ…å—或未扪åŠæ£å¸¸å宫。
1.3 辅助检查:10例B型超声波检查,å‡å‘现盆腔液性包å—åŠæŽ¢åŠæ£å¸¸å宫ã€å®«é¢ˆ,1例未能明确予行MRI检查明确æ£å¸¸å®«é¢ˆç»“æž„,2例B超检查æ示为幼稚å宫,所有病例å‡æœ‰æ£å¸¸åµå·¢ ......
