| 4种阴道成形术后疗效比较 |
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| 引用本文： | 李丽,马树强,陈曼诗,周晓梅,李冰琳.4种阴道成形术后疗效比较[J].中国现代手术学杂志,2008,12(5):389-391. |
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| 作者姓名： | 李丽 马树强 陈曼诗 周晓梅 李冰琳 |
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| 作者单位： | 1. 深圳市第四人民医院,深圳,518033
2. 西安市中心医院妇产科,西安,710003 |
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| 摘 要： | 目的比较4种不同手术方法治疗先天性无阴道的疗效。方法112例先天性无阴道患者分别采用以下4种手术方法治疗：①羊膜移植法（羊膜组）31例;②Vecchitti氏手术（提扣组）22例;③乙状结肠代阴道手术（乙状结肠组）35例;④盆腔腹膜移植法（腹膜组）24例。随诊时间为术后1-15年。观察手术成功率、婚后性生活情况。结果羊膜组、Vecchitti组、乙状结肠组和腹膜组手术成功率分别为87.1%（27/31）、90.9%（20/22）、100%（35/35）和79.2%（19/24）;经常有性高潮体验者分别为9.7%（3/31）、77.3%（17/22）、80.0%（28/35）和37.5%（9/24）;与配偶关系良好者分别占19.4%（6/31）、68.2%（15/22）、77.1%（27/35）和37.5%（9/24）。羊膜组、Vecchitti氏组及乙状结肠组手术成功率均较高,但仅乙状结肠组与腹膜组比较有显著性差异（P〈0.05）;Vecchitti氏组及乙状结肠组患者婚后性生活满意度较高,两组与羊膜组及腹膜组比较均有显著性差异（P〈0.05）。结论Vecchitti氏手术及乙状结肠组手术成功率高,患者婚后性生活满意度较高,心理状态较好,是目前较好理想的术式。
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| 关 键 词： | 阴道成形术 性生活 |
Effect Comparison of Four Types of Vaginoplasty |
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| LI Li,MA Shu-qiang,CHEN Man-shi,ZHOU Xiao-mei,LI Bing-lin.Effect Comparison of Four Types of Vaginoplasty[J].Chinese Journal of Modern Operative Surgery,2008,12(5):389-391. |
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| Authors: | LI Li MA Shu-qiang CHEN Man-shi ZHOU Xiao-mei LI Bing-lin |
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| Institution: | LI Li,MA Shu-qiang,CHEN Man-shi,ZHOU Xiao-mei,LI Bing-lin(Department of Obstetrics , Gynecology,Fourth People\'s Hospital of Shenzhen,Shenzhen 518033,Guangdong,China) |
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| Abstract: | Objective To compare the therapeutic effects of four types of vaginoplasty for congenital absence of vagina.Methods 112 cases suffered from congenital absence of vagina were treated by four types of vaginoplasty,including 31 of amniotic membrane transplantation(group A),22 of Vecchitti's method(group B),35 of sigmoid colon vaginoplasty(group C),and 24 of pelvic peritoneum transfer method(group D).The follow-up duration was 1 to 15 years.The success rate of operation and the quality of sexual activity was ev... |
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| Keywords: | vaginoplasty sexual life |
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