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自1986年10月至1996年9月对56例先天性无阴道患者选用了腹膜、乙状结肠、外阴皮瓣、外阴前庭粘膜四种成形术,其选用的指征分别是:外阴发育良好,尿道口处于前庭高位者首选外阴前庭粘膜;外阴发育欠佳,尿道口处于前庭低位,乙状结肠无病变,长度适宜者首选乙状结肠;外阴发育欠佳,乙状结肠有病变或长度过短,或术中乙状结肠成形失败者首选腹膜;处女膜隐窝深度≥3~4cm,不同意剖腹手术者首选外阴皮瓣。按上述指征选择术式,特别是在引进外阴前庭粘膜成形术后,本组后8例中有7例等合该术式的选择指征,手术均获成功。认为在术式选择上,应根据病人的条件首先考虑外阴前庭粘膜成形术,其次乙状结肠、腹膜与外阴皮瓣术式也可酌情选用。
From October 1986 to September 1996 56 cases of congenital absence of vagina selected peritoneum, sigmoid colon, vulvar flap, vulvar vestibule mucosa four kinds of angioplasty, the indications used are: vulvar well-developed, urethral orifice In the vestibular high preferred vaginal vestibular mucosa; vulvar development is poor, the urethra in the vestibular low, sigmoid colon disease-free, length suitable for the first choice of sigmoid colon; vulvar poor development, sigmoid colon lesions or length is too short, or intraoperative sigmoid colon malformation Preferred peritoneum; hymen crypt depth ≥ 3 ~ 4cm, do not agree with laparotomy preferred vulvar flap. According to the indications selected surgical procedures, especially in the introduction of vulvar vestibular mucosal plasty, the group of 8 cases after 8 cases, such as surgical indications of choice, surgery were successful. That in surgical options, should be based on the patient’s condition first consider vulvar vestibular mucosa, followed by sigmoid colon, peritoneal and vulvar flap surgery can also be used as appropriate.