| 腹腔镜腹膜阴道成形术的临床研究 |
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| 作者:廖莳 杜… 文章来源:中华妇产科杂志2003,5 点击数: 更新时间:2006-6-22 9:55:11 |
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腹腔镜腹膜阴道成形术的临床研究*
廖莳 杜敏 许可可 王春平 周明 秦成路 黄志欣 龙隽 罗光楠
( 广东省深圳市罗湖区人民医院,深圳518001 )
* 深圳市科技局立项课题基金资助项目(编号:200204151)
(本手术录像下载见: http://www.china-obgyn.net/Soft/ShowSoft.asp?SoftID=115 罗光楠主任专访见: http://www.china-obgyn.net/Soft/medianews/200605/116.html)
摘要 目的: 利用腹腔镜微创手术技术探索阴道成形术的理想术式。 方法: 对2001年11月~2004年8月收治的38例先天性无阴道患者施行腹腔镜腹膜阴道成形术,总结分析其手术情况及手术效果。结果: 38例手术中,除2例中转开腹改行乙状结肠阴道成形术外,其余36例均获成功。术后随访近3年,再造阴道深8~10㎝,可容窥阴器,阴道粘膜粉红色、湿润、其柔软度、弹性及走向符合解剖结构及生理要求。结论: 腹腔镜腹膜阴道成形术手术简单、安全、创伤小、术后患者恢复快,临床效果好,是一种较理想的阴道成形术术式,值得广泛推广应用。
关键词 腹腔镜 ; 先天性无阴道; 腹膜阴道成形术
The Clinicd Study on Laparoscopic Vaginoplasty of Peritoneum
LIAO Shi DU Min XU Keke, et al. ( Department of Gynecology and Obstetrics, Luohu Hospital of shenzhen, Shenzhen 518001,China)
Abstract Objective: To explore the ideal method of vaginoplasty under lapavoscopy by compared with traditional surgery of congenital absence of vagina. Methods: The study was made on 38 cases of congenital absence of vagina undergoing laparoscopic vaginoplasty of peritoneum (LVP) in our hospital from Nov.2001 to Aug. 2004.Operation condition and effect of all the cases were analysed. Results: Among 38 cases ,36 cases were successfully treated by LVP , only 2 cases were conversed to laparotomy vaginoplasty of sigmoid . Through the follow up of three years. we observed that the depth of artificial vagina was 8 to 10㎝, the mucosa was pink and wet .the soft degree, elasticity and course of vagina were concidenced with anatomic structure and physiology. Conclusion : LVP appears to be simple, safe, minimally invasive and quick rehabilitation. It may be widely conducted as an ideal vaginoplasty.
Key Words Laparoscopy; Congenital absence of vagina; Vaginoplasty of peritoneum .
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