Miao S X
Department of Obstetrics and Gynecology, Affiliated Hospital of Bengbu Medical College, Bengbu Anhui, P. R. China 233004.
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2001 Mar;15(2):104-5.
To select a satisfactory surgical approach in vaginoplasty with minimum injury and maximum effectiveness.
From January 1997 to December 1998, 86 cases of congenital absence of vagina were treated by three types of vaginoplasty, using abdominal skin graft, fetal skin graft and vulvar-inguinal skin flap respectively. The duration of operation and hospitalization, the wound healing of donor site, as well as the moist sensation of the artificial vagina and the sexual life quality were compared among the three types of vaginoplasty.
Compared with those by abdominal skin graft and vulvar-inguinal skin flaps, the vaginoplasty by fetal skin graft had the shortest surgical duration (P < 0.01); the duration of hospitalization with fetal skin grafting was shorter than that of abdominal skin grafting (P < 0.01) but almost the same as that of vulvar-inguinal skin transferring (P > 0.05). The fetal skin grafting had minimum injury. Moreover, artificial vagina by fetal skin grafting had the best moist sensation and the most satisfactory sexual life quality (P < 0.01).
In view of the minimum injury and maximum mimic of nature vagina, the vaginoplasty by fetal skin graft is the most ideal approach among the three types of vaginoplasty investigated in this trial.
选择一种损伤最小、效果最佳的阴道成形术手术入路。
1997年1月至1998年12月，对86例先天性无阴道患者分别采用腹部皮肤移植、胎儿皮肤移植和外阴-腹股沟皮瓣三种方法进行阴道成形术。比较三种阴道成形术的手术时间、住院时间、供区伤口愈合情况、人工阴道的湿润感及性生活质量。
与腹部皮肤移植和外阴-腹股沟皮瓣法相比，胎儿皮肤移植阴道成形术的手术时间最短（P<0.01）；胎儿皮肤移植的住院时间短于腹部皮肤移植（P<0.01），但与外阴-腹股沟皮瓣转移法相近（P>0.05）。胎儿皮肤移植损伤最小。此外，胎儿皮肤移植形成的人工阴道湿润感最佳，性生活质量最满意（P<0.01）。
鉴于胎儿皮肤移植阴道成形术损伤最小且最接近自然阴道，在本试验研究的三种阴道成形术中，胎儿皮肤移植阴道成形术是最理想的手术入路。
