生物补片人工阴道成形术治疗先天性无阴道

目的探讨生物补片人工阴道成形术治疗先天性无阴道的疗效。方法2010年3月～2013年3月，行生物补片人工阴道成形术治疗21例先天性无阴道，于直肠及尿道膀胱间隙人工造穴，百得塞补片置入造穴腔，并指导患者定期更换模具。结果21例手术均获成功，术后8周人工阴道即完全黏膜化，阴道壁柔软、红润，阴道深度〉8cm，宽度〉3横指。随访9～18个月，有性生活患者（14例）性生活满意。结论生物补片人工阴道成形术是治疗先天性无阴道的可行方法。

Vaginoplasty with an Acellular Dermal Matrix Patch for Congenital Absence of Vagina

Objective To evaluate the clinical application of vaginoplasty with an acellular dermal matrix patch in the treatment of congenital absence of vagina. Methods This retrospective analysis included 21 patients with congenital absence of vagina referred to our department from March 2010 to March 2013. All the patients underwent vaginoplasty at the gap between the rectum and the urethra with an acellular dermal matrix patch. The clinical course and management were reviewed. Results All the 21 patients underwent vaginoplasty with an acellular dermal matrix patch successfully. The vagina mucosa was formed 8 weeks after vaginoplasty with a depth 〉 8 em and width 〉 3 em. After follow-up reviews for 9 - 18 months, a satistaetory feedback of sexual life was obtained in 14 patients who had sexual experiences. Conclusion Vaginoplasty with an acellular dermal matrix patch for patients with congenital absence of vagina can be successfully performed with satisfactory outcomes.