Karjalainen O, Myllynen L, Kajanoja P, Tenhunen A, Purola E, Timonen S
Ann Chir Gynaecol. 1980;69(1):37-41.
Long-term results obtained through different methods of treatment were analysed in a series of 39 patients with congenital absence of the vagina. Thirty-three patients were treated with the McIndoe skin graft technique, 6 of them by the modification of Counseller and Davis. In three patients the neovagina was grafted with amnion and three were treated with the Frank nonoperative method. The result was graded good in 27 and satisfactory in 11 patients. In one patient the McIndoe operation resulted in a complete failure. There was no obvious difference between the results obtained by different methods except for the modification of Counseller and Davis which gave a good result in all cases. Judging from the general appearance and cytological pattern of the artificial vagina a more physiological result was achieved in patients with an amnion graft as compared with those with a skin graft. The nonoperative method is suggested as the first alternative in the treatment of patients with congenital absence of the vagina.
对39例先天性无阴道患者采用不同治疗方法的长期结果进行了分析。33例患者采用麦金杜（McIndoe）皮肤移植技术治疗，其中6例采用了康塞尔（Counseller）和戴维斯（Davis）改良法。3例患者用羊膜移植构建新阴道，3例采用弗兰克（Frank）非手术方法治疗。结果27例患者评定为良好，11例为满意。1例患者麦金杜手术完全失败。除康塞尔和戴维斯改良法在所有病例中均取得良好效果外，不同方法的治疗结果无明显差异。从人工阴道的外观和细胞学形态判断，与皮肤移植患者相比，羊膜移植患者的结果更接近生理状态。非手术方法被建议作为先天性无阴道患者治疗的首选方案。
