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目的:探讨腹腔镜下单叶腹膜代阴道成形术治疗先天性无阴道的手术方法及疗效。方法:回顾性分析52例腹腔镜下单叶腹膜代阴道成形术(腹腔镜组)和34例开腹腹膜代阴道成形术(对照组)患者的临床资料,对两组患者的手术情况、阴道情况以及性生活满意度进行比较。结果:两组患者阴道长度及性生活满意度比较差异无统计学意义(P>0.05);与对照组比较,腹腔镜组手术时间短、术中出血量少、术后下床活动早、肛门排气早、住院时间短(P<0.05)。结论:腹腔镜下单叶腹膜代阴道成形术治疗先天性无阴道具有操作简便,安全、微创、效果好等优点,值得推广。
Objective: To investigate the method and efficacy of laparoscopic single-leaf peritoneal vaginoplasty in the treatment of congenital non-vagina. Methods: The clinical data of 52 patients undergoing laparoscopic single-leaf peritoneal vaginoplasty (laparoscopic group) and 34 patients undergoing open peritoneal vaginoplasty (control group) were retrospectively analyzed. The operative conditions, vaginal Situation and sex life satisfaction. Results: There was no significant difference in vaginal length and sex life satisfaction between the two groups (P> 0.05). Compared with the control group, laparoscopic group had shorter operation time, less intraoperative blood loss, Exhaust earlier, shorter hospital stay (P <0.05). Conclusion: Laparoscopic single-leaf peritoneal vaginoplasty for the treatment of congenital absence of vagina has the advantages of simple, safe, minimally invasive, good results, it is worth promoting.