Guo E T
Changhai Hospital, Second Military Medical University, Shanghai.
Zhonghua Wai Ke Za Zhi. 1990 Sep;28(9):552-3, 574.
Since Nov. 1988, 4 cases of vagina reconstruction were performed using perineal axial flaps with excellent results. The perineal axial flap contains posterior labial artery which penetrates the perineal fascia to the subcutaneous layer at the middle point between the posterior commissura and the root of the thigh, proceeds to the mons pubis along the lateral side about 1.5 cm to the labium majus. The flap 4 x 9 - 5 x 10 cm in size was designed according to the orientation of the artery from the root of the thigh to the labium majus on each side respectively. It was taken up, sutured as sack, and transferred to artificial cavity made between the bladder and rectum Donor sites were closed directly.
自1988年11月以来，采用会阴轴型皮瓣进行了4例阴道再造术，效果良好。会阴轴型皮瓣包含阴唇后动脉，该动脉在会阴后联合与大腿根部中点处穿会阴筋膜至皮下层，沿大阴唇外侧约1.5厘米向耻骨联合行进。根据两侧从大腿根部到大阴唇的动脉走行方向，分别设计大小为4×9 - 5×10厘米的皮瓣。将其掀起，缝制成袋状，转移至膀胱与直肠之间的人工腔隙，供区直接缝合。
