皮瓣法阴道再造术41例分析.pdfVIP

470 Chinese Journal of Modem Operative Surgery，Dec．2007，Vo1．1l，No．6 — — · 临 床 论 著 · [文章编号]1009—2188(2007)06—0470—03 皮瓣法阴道再造术41例分析 王先成 ，乔群 ，王晓军 ，刘志飞 ，冯锐 ，宋可新 ，王阳 ，白明 (1．中南大学湘雅二医院烧伤整形外科，长沙410011；2．北京中国医学科学院中国协和 医科大学协和医院整形外科，北京100730) [摘要] 目的 总结先天性无阴道或阴道肿瘤切除术后阴道重建的方法及疗效。 方法 对先天 性无阴道的29例、两性畸形的4例、阴道肿瘤的8例患者采用皮瓣法行阴道重建，包括下腹壁皮瓣22例、腹 壁下动脉穿支皮瓣5例、腹直肌肌皮瓣8例、阴囊皮瓣1例、阴股沟皮瓣5例。 结果 术后下腹皮瓣部分 坏死1例，其余皮瓣全部成活。随访3—23个月，1例下腹壁皮瓣者发生阴道口狭窄，1例阴股沟皮瓣者阴道 变浅，余再造阴道满意。 结论 各种皮瓣方法再造阴道有其优缺点，需要根据患者的情况加以选择。 [关键词] 阴道重建； 外科皮瓣；修复外科手术 [中图分类号]R713．31 [文献标识码]B Clinical Analysis of Vagina Reconstruction th Various Flaps(41 Cases Report) WANG Xian—cheng， QIAO Q ，WANG Xiao-jun，LIU z ，FENG Rui，SONG Ke—xin，WANG Yang，BM Ming (Department of Burns and Plastic Surgery，Second Xiangya Hospital，Central South University，Changsha 410011，Hanan，Ch／na) Abstract： Objective To evaluate of the method and effect of vagina reconstruction with flaps． Meth- ods 29 of congenital absence of vagina，4 of androgyneity and 8 of vaginal defect due to vaginal tumor excision were underwent vagina reconstruction with flaps．The reconstructive flaps included hypogastric skin flaps with superficial circumflex iliac artery or superficial epigastric artery in 22，abdominis myocutaneous flaps in 8，deep inferior epigastric perforator flaps in 5，scrotal flap in 1 and pudendal—thigh flaps in 5． Results All flaps were survived except 1 hypogastric skin flap occurred partial flap necrosis．All cases were followed up for 3 to 23 months，1 occulted vaginal orifice stricture and another reported a short vaginal length，and the others were satisfied． Conclusion There are merits and demerits in different flaps．and it should be selected appropri— ately according to the conditions of patients． Key words： vag