经Retzius间隙穿刺改良Vechitti阴道成形术10例临床应用

目的：探讨经Retzius间隙穿刺改良Vechitti阴道成形术治疗先天性无阴道、无子宫的应用价值.方法：对10例先天性无阴道、无子宫患者行耻骨联合上缘腹壁向前庭穿刺,经Retzius间隙引入下端固定有纽扣的牵引线,由腹部上提牵引线并辅以阴道顶压,形成人工阴道.结果：10例患者改良Vechitti阴道成形术均获成功,术后3个月阴道长度9～10icm,阴道黏膜弹性好,色泽正常.结论：改良Vechitti阴道成形术术式简便、微创,值得临床推广.

Clinical application of 10 cases of improved Vechitti vaginoplasty by Retzius gap puncture

Objective： To investigate the clinical value of improved Vechitti vaginoplasty by Retzius gap puncture for treatment of congenital absence of vagina and uterus. Methods：The puncture was performed in the upper border of the symphysis pubis toward the vestibula through the abdominal wall,then a traction thread whose terminal was fixed by a button was drawn through the Retzius gap and lifted from the belly;at the same time,the technique of vaginal pushing-up was applied. Eventually, the vagina was reconstructed. Results： The improved Vechitti vaginoplasty by Retzius gap puncture was successful in all the 10 patients ;three months later, the average vaginal length was 9 - 10 cm with normal elasticity and color. Conclusions： The improved Vechitti vaginoplasty has the advantages of easy operation and minimal invasion. It is worth popularizing.