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目的探讨全腹腔镜下带血管蒂回肠移植阴道成形术的方法及其临床应用效果。方法回顾性分析2004年1月至2005年10月13例全腹腔镜下带血管蒂回肠移植阴道成形术患者的临床资料。结果13例手术均成功,术后近期发生肠梗阻1例,经再次手术治愈;阴道口狭窄2例,分别经扩张、阴道口成形术后痊愈。10例随访3￣6个月,7例无异味,3例轻度异味;6例有性生活,5例满意,1例有少量出血。结论全腹腔镜下带血管蒂回肠移植阴道成形术创伤小,较符合生理状态,疗效良好,是目前较理想的阴道成形方法。
Objective To investigate the method and clinical application of total laparoscopic vaginoplasty with pedigree ileum. Methods The clinical data of 13 patients undergoing total laparoscopic vaginoplasty with vascularized ileal transplants from January 2004 to October 2005 were retrospectively analyzed. Results All the 13 surgeries were successful. One case of intestinal obstruction occurred recently and was cured by reoperation. The other two cases were stenosed by vaginal stenosis and were cured after vaginal incision. Ten patients were followed up for 3 to 6 months. Seven patients had no smell and three had mild odor. Six patients had sex life, five were satisfied and one had a small amount of bleeding. Conclusion Laparoscopic transvaginal ileal transplastoplasty is a better method for vaginoplasty because of its less trauma and better curative effect.