Van Trappen P, De Sutter P, Dhont M
Department of Obstetrics and Gynaecology, University Hospital Ghent, Belgium.
J Obstet Gynaecol. 1997 Jun;17(4):379-82. doi: 10.1080/01443619750112934.
Absence of the vagina occurs most frequently in the Rokitansky-Küster-Mayer (RKM) syndrome. Since Küster has reviewed the literature in 1910 many techniques have been described to create a neovagina. We describe a technique in which both a part of the labia minora and of the perineal skin are used as flaps to cover the neovagina and report on the long-term outcome in a series of 16 patients with RKM syndrome treated with this technique. No intra-operative or immediate postoperative complications were recorded. The average depth of the neovagina was 8 cm, at the end of the operation and 1 year later. After 3 months the neovagina was completely lined with vaginal epithelium. In six out of 16 patients scar formation and polypoid formation was observed at the apex of the neovagina. This could be successfully handled by excision and coagulation in all six cases. Ten patients reported a satisfactory sexual life. The technique is simple and easy to perform. The anatomical result and sexual gratification was outstanding in two-thirds of the patients. We conclude that flaps derived from the genital region offer the most physiological tissue for construction of a neovagina.
阴道缺如最常见于 Rokitansky-Küster-Mayer（RKM）综合征。自 1910 年屈斯特综述文献以来，已有多种构建新阴道的技术被描述。我们描述了一种技术，即使用小阴唇和会阴皮肤的一部分作为皮瓣来覆盖新阴道，并报告了采用该技术治疗的 16 例 RKM 综合征患者的长期结果。术中及术后即刻均未记录到并发症。手术结束时及 1 年后，新阴道的平均深度为 8cm。3 个月后，新阴道完全被阴道上皮覆盖。16 例患者中有 6 例在新阴道顶端观察到瘢痕形成和息肉样形成。所有 6 例均通过切除和凝固成功处理。10 例患者报告性生活满意。该技术操作简单。三分之二的患者解剖学结果和性满足感良好。我们得出结论，源自生殖器区域的皮瓣为构建新阴道提供了最符合生理的组织。
