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作者对22例先天性阴道闭锁病例进行了对照研究,其中9例行McIndoe手术,3例行Williams手术,4例为Frank非手术治疗,6例为作者改进的Williams手术。改进的手术步骤如下:(1)于外阴前部大阴唇做倒U形切口,长为10cm,两底端相距5cm,顶端切口要在阴蒂的上方;(2)沿切口向内外侧解剖游离至少1.5cm;(3)用0号铬制肠线间断缝合切口内侧缘,以便形成新的阴道腔内壁;(4)某些病例从阴阜可取一个或两个翻转皮瓣固定缝合于第一次内侧缘缝合处,以加强新阴道腔的前壁;(5)缝合切口外侧缘复盖之。作者随访了改进术式的病人及配偶,均无性交不满意和生殖器干燥的感觉。与其他术式对比,作
The authors conducted a controlled study of 22 cases of congenital vaginal atresia, including 9 cases of McIndoe surgery, 3 cases of Williams surgery, 4 cases of Frank non-surgical treatment, and 6 cases of modified Williams surgery. Improved surgical procedures are as follows: (1) in the anterior genitals labia majora do inverted U-shaped incision, length 10cm, 5cm away from the bottom, the top of the incision to be above the clitoris; (2) along the incision to dissect the inside and outside at least free 1.5cm; (3) 0 with the chrome intestine intermittent suture incision medial edge, in order to form a new wall of the vaginal cavity; (4) in some cases from the monstrosity can take one or two flip flap fixed suture in the first Suture to strengthen the front wall of the new vaginal cavity; (5) suture incision lateral cover. The authors followed up patients and spouses who had improved procedures, and were not dissatisfied with sexual intercourse or with genital dryness. Contrast with other surgical procedures