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目的 :探索在腹腔镜下行带血管蒂回肠段移植再造阴道的可行性。方法 :应用腹腔镜技术完成肠系膜分离、回肠段选取、回肠端端吻合及回肠段下拉移植阴道成形术。结果 :2例手术均获得成功 ,随访 4～ 6月 ,移植肠段成活良好 ,再造阴道无明显挛缩 ,粘膜红润 ,功能和形态恢复基本达到生理要求 ,供区肠功能正常。结论 :腹腔镜用于回肠代阴道手术 ,是创伤小、患者易于接受的阴道成形方法。
Objective: To explore the feasibility of laparoscopic transvaginal ileum transplanting to reconstruct the vagina. Methods: Laparoscopic technique was used to complete mesenteric dissection, ileum segment selection, ileal anastomosis, and ileal segment pulldown transplanting vaginoplasty. Results: All the 2 surgeries were successful. All the patients were followed up from 4 to 6 months. Survival was good in the intestine, and there was no obvious contracture in the vagina. The mucosa was ruddy and the function and morphology recovered basically to meet the physiological requirements. Conclusion: Laparoscopy for ileal vaginal surgery is a minimally invasive and easy-to-accept vaginal approach.