乙状结肠代阴道成形术治疗先天性无阴道12例体会

目的探讨乙状结肠代阴道成形术治疗先天性无阴道的治疗效果。方法2002年5月~2005年8月应用该方法治疗12例先天性无阴道患者。结果12例患者手术均获成功,出院时人工阴道可容2指,深10~13cm。术后2月内发生阴道及外口狭窄3例,经扩张后改善。随访6个月~3年,有性生活史11例,感觉满意者10例,不甚满意者1例。结论乙状结肠代阴道成形术治疗先天性无阴道疗效确切,术后2个月内定期扩张人工阴道是预防术后人工阴道狭窄的关键。

Vaginoplasty Using Sigmoid Colon Graft for Congenital Absence of Vagina: A Report of 12 Cases

Objective To study the therapeutic effect of vaginoplasty using sigmoid colon graft for congenital absence of vagina. Method 12 cases of congenital absence of vagina were treated with vaginoplasty using sigmoid colon from May 2002 to August 2005. Results All cases were succeeded. The vagina could contain 2 fingers with a depth of 10 to 13 cm. 3 cases developed stricture 2 months postoperatively and improved by dilation. Within 6 months to 3 years follow-up, 11 cases had sex intercourse of which 10 cases were satisfied and 1 case was dissatisfied. Conlusion Vaginoplasty using sigmoid colon graft for congenital absence of vagina is effective, and dilation within 2 months postoperatively is recommendable to prevent stricture.