乙状结肠代阴道成形术治疗先天性无阴道的疗效分析

摘要

Objective To discuss the clinical effect of sigmoid colon vaginoplasty in the treatment of patients with congenital absence of vagina. Methods 4 patients with the congenital absence of vagina treated in this hospital from February 2011 to August 2013 received the treatment of sigmoid colon vaginoplasty. Their average operation time, intraoperative hematoma volume, postoperative complications and postoperative vaginal structure and function were observed. Results 4 patients with the congenital absence of vagina who received the sigmoid colon vaginoplasty were all successful in the operation, with the average operation time of (140.5±26.5)min and average hematoma volume of (118.4±4.5)mL. The vagina formed by the sigmoid colon surgery was close to the normal one in the shape and patients were satisfied with the sex life without any intraoperative or postoperative complication. Conclusion After receiving the sigmoid colon vaginoplasty, patients with the congenital absence of vagina have their operation-formed vaginas basically similar to normal ones in the structure and function. It is characterized by the safe operation, short operation time, limited hematoma volume and little complications, which is worthy to be popularized in the clinical practice.%目的：研究探讨应用乙状结肠代阴道成形术治疗先天性无阴道患者的临床疗效。方法对我院2011年2月～2013年8月收治的先天性无阴道患者4例进行分析，采用乙状结肠代阴道成形术治疗，观察4例采用乙状结肠代阴道成形术的平均手术时间、手术时出血量、手术后的并发症以及手术后阴道的结构和功能的情况。结果采用乙状结肠代阴道成形术治疗的4例先天性无阴道患者手术均获得成功，而且手术的平均时间为（140.5±26.5）min，平均出血量为（118.4±4.5）mL。用乙状结肠手术成的阴道在形态上与正常女性阴道接近，并且患者性生活感觉满意，没有发生手术中或手术后的并发症。结论经乙状结肠代阴道成形术对先天性无阴道患者的治疗，不但在术后所形成的阴道在结构和功能上与正常阴道基本一样，而且手术安全、手术时间短、出血量少、并发症少，值得在临床上推广使用。