Janisch H, Riss P, Schieder K, Rogan A M
Geburtshilfe Frauenheilkd. 1984 Jan;44(1):53-5. doi: 10.1055/s-2008-1036426.
We performed Vecchietti's operation in 10 patients with absence of the vagina (8 Rokitansky-Küster-syndrome, 1 testicular feminization, 1 occlusion of the vagina after radiotherapy). There were no intra- or postoperative complications; on discharge the neovagina was patent for 2 fingers in all cases. On follow-up examinations 2 to 20 months postoperatively the neovagina was no longer patent in the patient after radiotherapy, all other patients had neovaginas with a length ranging from 5 to 9 cm and reported satisfactory coitus without dyspareunia. According to our experience the conditions for successful surgical formation of a neovagina are: good psychosocial adjustment, some preoperative sexual experience, higher age, preoperative counselling, and longterm follow-up.
我们对10例阴道缺失患者实施了韦基耶蒂手术(8例为 Rokitansky-Küster 综合征,1例为睾丸女性化,1例为放疗后阴道闭锁)。术中及术后均无并发症;出院时所有病例新阴道均能容纳两指。术后2至20个月的随访检查显示,放疗后的患者新阴道不再通畅,其他所有患者的新阴道长度为5至9厘米,且报告性交满意,无性交困难。根据我们的经验,成功进行新阴道手术成形的条件为:良好的心理社会适应、术前有一定性经验、年龄较大、术前咨询以及长期随访。