腹腔镜下腹膜代阴道治疗先天性无阴道.docVIP

腹腔镜下腹膜代阴道治疗先天性无阴道【摘要】 目的 探讨腹腔镜下腹膜代阴道成形术的效果。方法 2003年10月至2009年1月共行腹腔镜下腹膜代阴道成形术9例,通过腹腔镜探查盆腔,游离盆腔腹膜,分离人工阴道腔穴,将游离盆腔腹膜自人工腔穴牵出,缝合形成人工阴道。结果 手术时间120~170 min,术中出血50~200 ml,术后第2天肛门排气,人工阴道深度10~12 cm 。随访时间3年,人工阴道黏膜红润、光滑、弹性好,功能和形态达到生理要求,已婚者述性生活满意。结论 腹腔镜下腹膜代阴道成形术创伤小,术后恢复快,不破坏机体完整性,腹膜形成的阴道壁光滑,与正常阴道黏膜相似,符合生理状态,是治疗先天性无阴道较理想的手术方式。 【关键词】先天性无阴道;腹膜代阴道;腹腔镜 The use of peritoneum for laparoscopic vaginoplasty in patients with congenital absence of vagina WANG Ming bo,LIU Sui,LIU Yu,et al.Department of gynecology,Tungwah Hospital,Sun Yat Sen University,Dongguan 523110,China 【Abstract】 Objective To study the effect of the use of peritoneum for laparoscopic vaginoplasty in patients with congenital absence of vagina.Methods 9 patients with congenital absence of vagina were perfomed peritoneum for laparoscopic vaginoplasty from Oct,2003 to Jan,2009.Explore the pelvic by laparoscopic vaginoplasty,free the pelvic peritoneum,detach artificial vagina,pull the pelvic peritoneum from the artificial vagina,suture to form a vagina.Results The operation time was 120~170 minutes.Blood loss of operation was 50~200 ml.All patients had gas discharged 2 days after operation.Depth pf vagina made were 10~20 cm.3 years after operation,the vagina made all have a smoothy and tendy mucous membrane that their function or shape reached physiological goal.Patients or their spouses were satisfied to their sex activity.Conclusion Use of peritoneum for laparoscopic vaginoplasty in patients with congenital absence of vagina has the advantages of short operation time,rapid recovery and no impact of physiological organ.Vagina membrane made by peritonem were smoothy and alike to normal vagina membrane.The use of peritoneum for laparoscopic vaginoplasty is an good operation way in patients with congenital absence of vagina. 【Key words】Congenital absence of vagina;Peritoneum; Laparoscopy 先天性无阴道是因副中肾管未发育或副中肾管尾端发育停滞而未向下延伸所致的一种先天发育缺陷,国外报道的发病率为1/5000~1/4000,主要特征是阴道缺如、子宫缺如或始基子宫,而双侧卵巢正常,又称为Rokitansky Kustner Hauser