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目的探讨腹腔镜下Vecchietti阴道成形术的手术方法及临床应用效果。方法回顾分析36例腹腔镜下行Vecchietti阴道成形术患者的临床资料。36例均为先天无阴道无子宫患者,手术方式参照Vecchietti术式,所有操作在腹腔镜下完成。术后6个月复查并询问性生活情况。结果36例手术全部成功,无膀胱、尿道与直肠损伤等并发症发生。术后人工阴道黏膜光滑红润,具有女性阴道形态和生理功能。28例结婚,性生活满意。结论腹腔镜下Vecchietti阴道成形术具有创伤小、手术时间短、简单、安全、不易损伤膀胱尿道与直肠、不破坏外阴形态、形成阴道符合阴道生理状态等优点,达到微创手术的目的,是理想的阴道成形方法。
Objective To investigate the surgical method and clinical application of laparoscopic Vecchietti vaginoplasty. Methods The clinical data of 36 patients who underwent Laparoscopic Vecchietti vaginoplasty were retrospectively analyzed. All 36 cases were congenital and without vaginal uterus. The operation mode was Vecchietti operation, and all operations were performed under laparoscopy. 6 months after the review and asked about sex life. Results All the 36 surgeries were successful. No complications such as bladder, urethra and rectal injury occurred. Artificial vaginal mucosa smooth rosy, with female vaginal morphology and physiological function. 28 cases of marriage, sexual satisfaction. Conclusion Laparoscopic Vecchietti vaginoplasty has the advantages of less trauma, shorter operation time, simple and safe, less damage to the bladder and urethra and rectum, noninvasive vulva morphology, vaginal compliance with vaginal physiology and so on, so as to achieve the goal of minimally invasive surgery. Vaginal shaping method.