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自1992 年5 月以来,应用双侧阴股沟薄皮瓣移位阴道成形术34 例。33 例皮瓣Ⅰ期成活,1 例皮瓣尖端因碘纺纱条填塞过紧部分发生坏死,经换药痊愈。应用该方法行阴道成形与传统方法相比,具有皮瓣较薄,术后不臃肿,供受区比较邻近,且转移方便。在切取皮瓣时应靠大阴唇外侧对外阴形态无改变。皮瓣切取范围较大,完全满足手术后的生理需求。该皮瓣是以阴唇后动脉为蒂,血管恒定,血供可靠。切取解剖皮瓣容易,皮瓣弹性较好。因皮瓣含有多种血管神经束,感觉功能好,皮瓣切取后供区可直接拉拢缝合,远期仅留下不明显的线状瘢痕,且无功能影响,切口隐蔽等优点。
Since May 1992, the application of bilateral vaginal shaving thin flap displacement vaginoplasty in 34 cases. 33 cases of flap survival in stage Ⅰ, 1 case of tip of the flap due to iodine tamponade tight part of the necrosis, after dressing recovery. Compared with the traditional method, this method has the advantages of thin flap, not bloated postoperatively and relatively convenient for the recipient area. In the cut flap should rely on the outside of the labia majora shape no change. Skin flap cut larger, fully meet the physiological needs after surgery. The flap is based on the posterior labial artery, blood vessels constant, reliable blood supply. Cut dissection flap easy, flap flexibility is better. Because the flap contains a variety of vascular nerve bundles, sensory function is good, the flap cut for donor area can be directly sutured, long-term leaving only obvious linear scar, and no functional effects, incision hidden and so on.