Fliegner J R
Department of Obstetrics and Gynaecology, University of Melbourne, Australia.
Surg Gynecol Obstet. 1987 Nov;165(5):387-91.
The correction of an absent vagina requires the creation of a canal either by surgical means or by the intermittent pressure technique of Frank. Both methods have drawbacks and, in our experience, it is difficult to persuade a patient to use a vaginal dilator alone, accurately and conscientiously for long enough to give a good result. A simple surgical alternative is described which gives good anatomic and functional results with minimal morbidity. It combines the positive features of the traditional McIndoe approach and the Frank method of vaginal development. The results of a study of 24 patients with vaginal agenesis confirmed that the condition is usually part of the Rokitansky-Kuester-Hauser syndrome with an absent or rudimentary uterus and tubes but normally functional ovaries (21 patients). There were three instances of testicular feminization with an XY karyotype, and the results of orchidectomy performed upon these patients after puberty showed the classical histologic findings. The uterus and tubes were absent. Since 1976, the new isograft technique has been performed upon 11 patients with excellent results and no complications.
阴道缺失的矫正需要通过手术方法或弗兰克间歇性压迫技术来创建阴道管腔。这两种方法都有缺点，根据我们的经验，很难说服患者长时间单独、准确且认真地使用阴道扩张器以获得良好效果。本文描述了一种简单的手术替代方法，该方法能以最小的发病率获得良好的解剖和功能结果。它结合了传统麦金杜方法和弗兰克阴道发育方法的积极特征。对24例阴道发育不全患者的研究结果证实，该病症通常是罗基坦斯基 - 库斯特 - 豪泽综合征的一部分，子宫和输卵管缺失或发育不全，但卵巢通常功能正常（21例患者）。有3例患者为XY核型的睾丸女性化，这些患者在青春期后进行睾丸切除术的结果显示出典型的组织学表现。子宫和输卵管缺失。自1976年以来，已对11例患者实施了新的同种异体移植技术，效果极佳且无并发症。
