[通过韦基耶蒂技术腹腔镜创建新阴道：解剖学和功能结果]
[Laparoscopic creation of a neovagina by Vecchietti's technique: anatomic and functional results].
作者信息
Abramowicz S, Oden S, Joutel N, Roman H, Gromez A, Marpeau L
机构信息
Service de gynécologie-obstétrique, centre hospitalier universitaire de Rouen, Pavillon mère-enfant, 1 rue de Germont, Rouen cedex, France.
出版信息
Gynecol Obstet Fertil. 2013 Jan;41(1):4-9. doi: 10.1016/j.gyobfe.2012.11.002. Epub 2012 Dec 31.
OBJECTIVES
To evaluate vaginoplasty by Vecchietti technique adapted to laparoscopy and the anatomical and functional long term outcomes.
PATIENTS AND METHODS
We retrospectively studied the patients with vaginal agenesis (a Mayer-Rokitansky-Küster-Hauser syndrome for seven of young adults) operated from 1997 to 2011. The data of eight patients with a median age of 18years old was collected. Surgical complications were analysed. The functional outcomes were compared to a control group with the Female Sexual Function Index (FSFI).
RESULTS
No major complication occurred during surgery. The postoperative mean vaginal measurement was 7.2cm (4.4-10). The total FSFI scores did not differ from that of the control group (19.2 versus 18 p=0.82). Desire, arousal, lubrication, orgasm, satisfaction, and pain of the patients were similar to controls.
DISCUSSION AND CONCLUSION
Laparoscopic Vecchietti technique is a fast, simple and safe procedure to create a neovagina, and guarantees good anatomic and functional results.
目的
评估适用于腹腔镜的Vecchietti技术阴道成形术及其长期解剖学和功能学结果。
患者与方法
我们回顾性研究了1997年至2011年接受手术的阴道发育不全患者（7名年轻成人患有 Mayer-Rokitansky-Küster-Hauser综合征）。收集了8名中位年龄为18岁患者的数据。分析手术并发症。使用女性性功能指数（FSFI）将功能学结果与对照组进行比较。
结果
手术期间未发生重大并发症。术后阴道平均测量值为7.2厘米（4.4 - 10）。FSFI总分与对照组无差异（19.2对18，p = 0.82）。患者的性欲、性唤起、润滑、性高潮、满意度和疼痛与对照组相似。
讨论与结论
腹腔镜Vecchietti技术是一种快速、简单且安全的创建新阴道的手术方法，并能保证良好的解剖学和功能学结果。
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