Zhang Juan-Juan, Liao Shi, Du Min, Qin Cheng-Lu, Li Bao-Yan, Luo Guang-Nan
Department of Gynecology, the Fifth People's Hospital of Shenzhen, Shenzhen 518001, China.
Zhonghua Zheng Xing Wai Ke Za Zhi. 2011 Sep;27(5):343-7.
To investigate the technique and therapeutic effect of laparoscopy-insisted vaginoplasty with peritoneum in patients with androgen insensitivity syndrome.
From May. in the Fifth People' s Hospital of Shenzhen. The therapeutic effect was retrospectively analyzed.
Laparoscopy-insisted vaginoplasty was successfully completely with peritoneum in patients with androgen in 4 cases. Ileumtivity segyndroment was used instead of peritoneum in one case. Open operation was not adopted in any cases. The ectopic testicles were removed during operation in 4 cases. The average operation time and bleeding volume was 60 min and 20 ml, respectively. Rectum, bladder and urethra were not injured in any case. The average vaginal length was 9 cm (range 8-10 cm) 21-28 days after operation. 6 months after operation, the surface of reconstructed vagina was smooth, ruddy and flexible, with satisfactory anatomical and functional results. Normal sexual activity was achieved in 2 cases.
Laparoscopy-insisted vaginoplasty with peritoneum could be used for female patients with androgen insensitivity syndrome. The ectopic testicles should be removed. Estrogen supplement and psychological guide after operation are also important.
探讨腹腔镜下腹膜代阴道成形术治疗雄激素不敏感综合征患者的技术及疗效。
回顾性分析深圳市第五人民医院5月以来的治疗效果。
4例雄激素不敏感综合征患者成功行腹腔镜下腹膜代阴道成形术，1例采用回肠代替腹膜，均未采用开放手术。4例术中切除异位睾丸，平均手术时间60分钟，平均出血量20毫升，无一例损伤直肠、膀胱及尿道。术后21～28天，阴道平均长度9厘米（范围8～10厘米）。术后6个月，再造阴道表面光滑、红润、柔软，解剖及功能效果满意。2例恢复正常性生活。
腹腔镜下腹膜代阴道成形术可用于雄激素不敏感综合征女性患者，术中应切除异位睾丸，术后补充雌激素及心理指导亦重要。
