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目的观察苯甲酸雌二醇在腹腔镜下对改良Vechitti阴道成形术后人工阴道的影响。方法 2003年7月至2011年6月间在我院行腹腔镜下改良Ve-chitti阴道成形术的56例病人,随机分成2组(每组28例):一组应用苯甲酸雌二醇,作为实验组,另一组不用任何雌激素类药物,作为对照组,观察2组术后人工阴道情况、阴道脱落细胞成熟指数及性生活满意率。结果实验组在平均住院时间、拆线时阴道长度、术后3,6个月的阴道长度、阴道脱落细胞成熟指数、性生活满意率等方面,明显优于对照组。结论苯甲酸雌二醇应用于腹腔镜下改良Vechitti阴道成形术中可增加阴道长度,促进人工阴道上皮成熟,提高性生活满意率;且安全可靠。
Objective To observe the effect of estradiol benzoate on artificial vagina after modified Vechitti vaginoplasty under laparoscopy. Methods From July 2003 to June 2011, 56 patients undergoing laparoscopic modified Ve-chitti vaginoplasty in our hospital were randomly divided into 2 groups (28 in each group): one group was treated with estradiol benzoate, As the experimental group, the other group without any estrogen drugs, as a control group, observed two groups of artificial vaginal conditions, vaginal exfoliated cell maturation index and sexual satisfaction. Results The experimental group was significantly better than the control group in terms of average length of hospital stay, length of vagina during suture removal, length of vagina at 3 and 6 months after operation, maturity index of vaginal exfoliated cells, and satisfaction rate of sexual life. Conclusion The application of estradiol benzoate in vaginal laparoscopic modified Vechitti vaginoplasty can increase the vaginal length, promote the artificial vaginal epithelial maturation and improve the satisfaction rate of sexual life; and it is safe and reliable.