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报告了对20例阴道成形术患者全程分期的健康教育。全程为从患者入院到出院的全过程，分期为患者入院时、手术前、手术后、出院前4个阶段的连续健康教育。内容主要包括饮食指导、肠道准备、术后会阴部护理等，特别强调术后阴道模型的放置，以及出院后如何正确使用、消毒阴道模型。本组手术均获成功，未发生并发症。 相似文献
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Objective
To show laparoscopic surgery to treat vaginal shortening, with functional sequelae (sexual disorders), after radiotherapy and brachytherapy for vaginal carcinoma.Methods
Davydov's procedure was initially described to treat vaginal aplasia (Davydov & Zhvitiashvili, 1974). This surgery was then improved for the upper part of the vagina, performed by laparoscopy (Leblanc, 2010; Adamyan, 1995) [2], [3]. We used surgical technique, based on Davydov's procedure, by laparoscopy, to cover the upper neovagina, with two large peritoneal flaps, one anterior with the pre-vesical peritoneum and a second one posterior with the peritoneum of Douglas pouch. This surgery can be performed with no use of intestinal gesture, skin grafting, flap or any foreign material. Leblanc et al. (2016) [4] reported promising results about eight patients with this technique.Results
A 36-years old patient had been treated by chemotherapy, radiotherapy and brachytherapy for a vagina cancer with a para-rectal extension. After four years of remission, she was worried about an important vaginal atrophy related to a significant vaginal shortening (about 5 cm), causing major dyspareunia. This situation had caused sexual disorders with a real impact on the quality of life. All non-invasive techniques (dilatators, lubricants…) had led to failures. A colpoplasty by laparoscopic modified Davydov's procedure was performed. The post-operative follow-up was simple without complication. The vaginal mandrel was removed after 12 days. The clinical examination after 4 months demonstrates that size and elasticity of the neovaginal cavity was rewarding.Conclusion
This surgical technique requires training and experienced team, but seems to be promising way to restore a normal vaginal length. 相似文献3.
大阴唇皮瓣阴道成形再造术36例疗效比较 总被引：1，自引：0，他引：1
薛芸香 《实用医药杂志(山东)》2003,20(3):168-169
目的为寻求手术再造解剖和功能上都更接近于正常阴道的方法。方法1990-12～2001-12共实施阴道闭锁再造36例,手术采用两种方法:①大阴唇皮瓣经小阴唇下阴道成形术;②阴股沟大阴唇皮瓣阴道再造成形术。结果第1种方法手术16例,效果满意,但皮瓣易脱出,且阴道穴腔内有阴毛存在。第2种手术方法手术20例,则克服了以上缺陷,它供区荫蔽,手术方便,全部手术一期完成,临床获得满意效果。结论皮瓣阴道再造是第一选择,而阴股沟大阴唇皮瓣再造阴道也不失是一种好方法。 相似文献
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