中国医科大学学报

中国医科大学学报

中国医科大学学报 ›› 2016, Vol. 45 ›› Issue (5): 467–469.doi: 10.12007/j.issn.0258-4646.2016.05.022

• 论著 • 上一篇    下一篇

单孔腹腔镜乙状结肠代阴道成形术治疗先天性无阴道的临床效果分析

殷丽丽,杨清,王光伟   

  1. 中国医科大学附属盛京医院第一微创妇科,计划生育病房,沈阳 110004
  • 收稿日期:2015-05-28 出版日期:2016-05-30 发布日期:2016-05-09
  • 通讯作者: 杨清 E-mail:yangq@sj?hospital.org
  • 作者简介:殷丽丽(1984 -),女,医师,硕士.

Clinical Performance of Single-incision Laparoscopic Sigmoid Colon Vaginoplasty in Women with Congenital Absence of Vagina

YIN Lili,YANG Qing,WANG Guangwei   

  1. Department of 1st Minimally Invasive Gynecology & Birth-control Ward,Shengjing Hospital,China Medical University,Shenyang 110004,China
  • Received:2015-05-28 Online:2016-05-30 Published:2016-05-09

摘要: 目的 探讨单孔腹腔镜乙状结肠代阴道成形术治疗先天性无阴道的可行性。方法 回顾性分析 2008 年 1 月至 2014 年6 月中国医科大学附属盛京医院收治的 32 例先天性无阴道患者的临床资料,其中,行腹腔镜辅助的乙状结肠代阴道成形术 19例,行单孔腹腔镜乙状结肠代阴道成形术 13 例。比较 2 组的手术时间、术中出血量、术后排气时间及术后随访情况。结果 与腹腔镜辅助的乙状结肠代阴道成形术相比,单孔腹腔镜乙状结肠代阴道成形术的手术时间较短,术中出血量较少。2 组术后排气时间无明显差异。乙状结肠吻合口无感染及肠瘘发生。形成的人工阴道无狭窄,且长度满意。术后随访患者对性生活质量满意,单孔腹腔镜手术患者对腹部的外观更为满意。结论 单孔腹腔镜乙状结肠代阴道成形术肠吻合过程操作简便,且手术 时间短、出血量少,治疗先天性无阴道安全有效。

关键词: 先天性无阴道, 单孔腹腔镜手术, 乙状结肠, 阴道成形术

Abstract: Objective To explore the feasibility of single-incision laparoscopic sigmoid colon vaginoplasty in women with congenital absence of vagina. Methods Clinical data of thirty-two patients with congenital absence of vagina admitted in Shengjing Hospital of China Medical University between January 2008 and June 2014 was retrospectively analyzed. Nineteen patients underwent laparoscopic assisted sigmoid colon vaginoplasty,and thirteen paitiens underwent single-incision laparoscopic sigmoid colon vaginoplasty. The operation time,intraoperative blood loss,evacuation time and follow up were compared between the two groups. ResultsIn the group of single-incision laparoscopic sigmoid colon vaginoplasty,the operation time was shorter and intraoperative blood loss was less. There was no difference between two groups in evacuation time. There was no infection or leakage of anastomotic stoma of sigmoid colon,and no postoperative stenosis of the neovagina and its length was satisfied. Patients were satisfied with the quality of sexual life after the surgery. Patients underwent single-incision laparoscopic sigmoid colon vaginoplasty were all satisfied with the appearance of abdomen. Conclusion The single-incision laparoscopic sigmoid colon vaginoplasty can simplify the procedure of intestinal anastomosis,shorten the operation time,and reduce the intraoperative blood loss. Consequently,the single-incision laparoscopic sigmoid colon vaginoplasty is effective and safe.

Key words: congenital absence of vagina, single-incision laparoscopy, sigmoid colon, vaginoplasty

中图分类号: 

  • R711.1
[1] 袁华,赵莹. 全腹腔镜与经腹乙状结肠代阴道成形术治疗先天性无阴道的护理比较[J]. 中国医科大学学报, 2012, 41(6): 572-573.
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