带血管蒂乙状结肠代阴道术

目的 探讨应用带血管蒂乙状结肠再造阴道的技术及效果。方法 2009年2月至2014年9月,我院对13例先天性无阴道女性患者行带血管蒂乙状结肠代阴道术。术后定期随访,进行体格检查、性生活满意度和患者满意度调查。结果 13例手术均获成功,术后外阴形态良好,再造阴道长度10~12 cm,阴道直径约3 cm,阴道壁柔软、湿润,有弹性。随访8~75个月,10例术后有性生活。总体手术满意率高。结论 应用带血管蒂乙状结肠移植作为再造阴道的衬壁,是一种行之有效的阴道再造方法。

Pedicled Transplants of Sigmoid Colon for Vaginal Reconstruction

Objective To explore the technique of vagina reconstruction using pedicled transplants of sigmoid colon and its effect. Methods From February 2009 to September 2014, 13 female patients with congenital absence of vagina were treated with this technique in our hospital. The physical examination, questionnaire of satisfaction were performed after surgery. Results The operations were successfully completed in all the 13 cases. The appearance of cunnus was fine, the neovaginal length was 10-12 em, and the diameter was about 3 cm. The reconstructed vaginal wall was soft, moist and elastic. All the patients were followed up for 8 to 75 months. Ten patients had sexual life after operation. All the patients were satisfied with the results of the surgery. Conclusion The use of pedicled transplants of sigmoid colon for vaginal reconstruction is an effective method for female patients with congenital absence of vagina.