Buss J G, Lee R A
Section of Gynecologic Surgery, Mayo Clinic, Rochester, MN 55905.
Mayo Clin Proc. 1989 Jul;64(7):758-61. doi: 10.1016/s0025-6196(12)61747-9.
During the 10-year interval from 1976 through 1985, 50 patients with congenital absence of the vagina underwent McIndoe vaginoplasty at our institution. The medical records of these patients were retrospectively reviewed, and additional information was obtained through a survey of the patients. The mean duration of follow-up was 6.5 years. Two rectovaginal fistulas and one graft failure were among the complications that occurred. Five patients required additional reconstructive vaginal operations. Operative vaginoplasty was considered functionally successful by 40 of the 47 patients (85%) who responded to the survey, yet only 36 of these 40 (90%) had remained coitally active by the time of the survey. Recognizing the potential for complications, the need for long-term follow-up and care of the neovagina, and the less-than-perfect results achieved, we continue to consider the McIndoe operation as the procedure of choice for most patients with vaginal agenesis.
在1976年至1985年的10年期间，我院有50例先天性无阴道患者接受了麦金杜阴道成形术。对这些患者的病历进行了回顾性研究，并通过对患者的调查获取了更多信息。平均随访时间为6.5年。发生的并发症包括两例直肠阴道瘘和一例移植物失败。5例患者需要再次进行阴道重建手术。在参与调查的47例患者中，40例（85%）认为手术阴道成形术在功能上是成功的，但在调查时，这40例患者中只有36例（90%）仍有性生活。认识到存在并发症的可能性、对新阴道进行长期随访和护理的必要性以及所取得的结果并非完美，我们仍然认为麦金杜手术是大多数阴道发育不全患者的首选手术方法。
