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改良阿贝-麦金杜技术治疗阴道闭锁:22例患者的长期随访

Treatment of vaginal agenesis with modified Abbé-McIndoe technique: long-term follow-up in 22 patients.

作者信息

Keser Abdulmuttalip, Bozkurt Nuray, Taner Omer Faruk, Sensöz Omer

机构信息

Department of Plastic and Reconstructive Surgery, Dr. Muhittin Ulker First Aid and Traumatology Hospital, Ankara, Turkey.

出版信息

Eur J Obstet Gynecol Reprod Biol. 2005 Jul 1;121(1):110-6. doi: 10.1016/j.ejogrb.2004.11.027.

DOI:10.1016/j.ejogrb.2004.11.027
PMID:15935544
Abstract

OBJECTIVES

The inlay skin grafting technique proposed by McIndoe is by far the most popular and the safest technique for treatment of vaginal agenesis. The purpose of the current study is to present clinical experiences and long-term results of modified Abbé-McIndoe technique.

STUDY DESIGN

We present the long-term results of 22 patients with a follow-up period ranging between 7 and 14 years.

RESULTS

Mean vaginal depth was recorded to be 8 cm and narrowing of the vagina was not noted. Only in two cases was deficient vaginal depth observed which was due to inadequate use of the mould in the postoperative period. Histologic study of the specimens obtained from the neovagina revealed normal vaginal mucosa in all patients.

CONCLUSION

Although numerous methods have been described since the first surgical intervention for the correction of vaginal agenesis, a modified Abbé-McIndoe technique is still the effective and preferred one.

摘要

目的

麦金杜提出的镶嵌植皮技术是目前治疗阴道闭锁最常用且最安全的技术。本研究的目的是介绍改良阿贝 - 麦金杜技术的临床经验和长期效果。

研究设计

我们展示了22例患者的长期结果,随访时间为7至14年。

结果

记录的平均阴道深度为8厘米,未发现阴道狭窄。仅在两例中观察到阴道深度不足,这是由于术后模具使用不当所致。对从新阴道获取的标本进行组织学研究,结果显示所有患者的阴道黏膜均正常。

结论

尽管自首次手术矫正阴道闭锁以来已描述了众多方法,但改良阿贝 - 麦金杜技术仍然是有效且首选的技术。

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