| 摘要: |
| ［摘要］ 目的 探讨腹腔镜下腹膜代阴道成形术的可行性及临床效果。方法 回顾性分析27例先天性无阴道无子宫患者行腹腔镜下腹膜代阴道成形术的手术情况及随诊结果。结果 27例患者均成功施行了腹腔镜下腹膜代阴道成形术，术中游离盆腔腹膜瓣片约8～10 cm，同时切除始基子宫，手术时间及术中出血量分别为85.00～140.00（100.56±10.00）min、30.00～150.00（46.81±20.01）ml，术后均顺利出院，无手术相关并发症。术后随诊1年，无阴道瘢痕挛缩、过短情况，27例均取得满意的性生活。结论 腹腔镜下腹膜代阴道成形术是一种治疗先天性无阴道无子宫的有效术式，术中应游离足够长的盆腔腹膜，术后可取得良好效果，值得推广。 |
| 关键词: 腹腔镜 盆腔腹膜 阴道成形术 |
| DOI：10.3969/j.issn.1674-3806.2015.06.11 |
| 分类号:R 713.3+1 |
| 基金项目: |
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| Clinical study of laparoscopic vaginoplasty with pelvic peritoneum |
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HUANG Wei-rong, WU Yu-ying, ZHAO Ren-feng
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Department of Gynecology, the People′ s Hospital of Guangxi Zhuang Autonomous Region, Nanning 530021, China
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| Abstract: |
| ［Abstract］ Objective To evaluate the feasibility and effectiveness of laparoscopic vaginoplasty with pelvic peritoneum.Methods The surgical conditions and follow-ups of 27 cases with congenital absence of vaginas and uteri who were performed laparoscopic vaginoplasty with pelvic peritoneum were analyzed retrospectively.Results All of the patients were completed the surgery successfully. The length of their free pelvic peritoneum flaps was separated in 8～10 cm, at the time when their primordial uteri were ressected during the surgical procedure. The operative time and blood loss were 85.00～140.00（100.56±10.00）min, 30.00～150.00（46.81±20.01）ml, respectively. All of them were discharged successfully from the hospital without any operatively related complications. All patients had enough long vaginas without scar contressentire and had normal sexual intercourse satisfactorily after one year of operation.Conclusion Laparoscopic vaginoplasty with pelvic peritoneum is a feasible and safe surgical pattern for patients in absence of vaginas and uteri. The enough and properly long pelvic peritoneum is proposed to be contained during operation. |
| Key words: Laparoscopic Pelvic peritoneum Vaginoplasty |
