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目的探讨腹腔镜腹膜代阴道成形术治疗先天性无阴道的临床价值。方法分析18例先天性无阴道患者行腹膜代阴道成形术的手术时间、术中出血量、术后阴道情况及术后性生活满意度。结果 18例患者均在腹腔镜下行腹膜代阴道成形术。术后阴道长度8~12 cm,术后随访1~8年,性生活满意度高。结论腹腔镜腹膜代阴道成形术是安全、疗效满意的手术方式,手术创伤小、术后恢复快,术后1个月更换模具,痛苦小,随访性生活满意度高。
Objective To investigate the clinical value of laparoscopic peritoneal vaginoplasty in the treatment of congenital absence of vagina. Methods 18 cases of congenital non-vaginal patients underwent peritoneal vaginoplasty operation time, blood loss, postoperative vaginal conditions and postoperative sex life satisfaction. Results All 18 patients underwent laparoscopic peritoneal vaginoplasty. Vaginal length 8 ~ 12 cm, follow-up 1 to 8 years after surgery, sexual satisfaction is high. Conclusions Laparoscopic peritoneal vaginoplasty is a safe and effective surgical method. The surgical trauma is small and the postoperative recovery is fast. The mold is changed one month after the operation. The pain is small and the follow-up sex life satisfaction is high.