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阴道及会阴先天性畸形的矫正。

Correction of congenital abnormalities of the vagina and perineum.

作者信息

Hendren W H, Donahoe P K

出版信息

J Pediatr Surg. 1980 Dec;15(6):751-63. doi: 10.1016/s0022-3468(80)80278-8.

DOI:10.1016/s0022-3468(80)80278-8
PMID:7007606
Abstract

Techniques used for vaginoplasty in patients with congenital anomalies are described. They include simple cutback, inlay of a perineal flap, perineal pullthrough, abdominal-perineal pullthrough, and the use of a free skin graft. When the clitoris is enlarged, clitoroplasty should be performed instead of clitoridectomy. The technique should vary according to the size of the phallus. Labia minora can be constructed from excess skin of the clitoris. Labioscrotal tissue can be advanced posteriorly to provide a more normal appearing vulva. These various reconstructive procedures can be performed either simultaneously or in stages depending on the complexity of the case and the age of the patient.

摘要

描述了用于先天性异常患者阴道成形术的技术。它们包括简单的切开、会阴皮瓣镶嵌、会阴拖出术、腹会阴拖出术以及使用游离皮片。当阴蒂增大时,应进行阴蒂成形术而非阴蒂切除术。该技术应根据阴茎大小而有所不同。小阴唇可由阴蒂多余的皮肤构建。阴唇阴囊组织可向后推进以提供外观更正常的外阴。根据病例的复杂程度和患者年龄,这些不同的重建手术可同时或分阶段进行。

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引用本文的文献

1
Treatment of the Enlarged Clitoris.增大阴蒂的治疗。
Front Pediatr. 2017 Aug 28;5:125. doi: 10.3389/fped.2017.00125. eCollection 2017.
2
Surgical Treatment after Failed Primary Correction of Urogenital Sinus in Female Patients with Virilizing Congenital Adrenal Hyperplasia: Are Good Results Possible?女性男性化先天性肾上腺皮质增生症患者泌尿生殖窦初次矫正失败后的手术治疗:能否取得良好效果?
Front Pediatr. 2016 Oct 27;4:118. doi: 10.3389/fped.2016.00118. eCollection 2016.
3
Symptomatic urinary problems in female genital tract anomalies.
女性生殖道畸形中的症状性泌尿系统问题。
Int Urogynecol J Pelvic Floor Dysfunct. 2009 Apr;20(4):401-6. doi: 10.1007/s00192-008-0783-8. Epub 2008 Dec 18.
4
A modified approach for feminizing genitoplasty.
World J Urol. 2008 Oct;26(5):517-20. doi: 10.1007/s00345-008-0298-4. Epub 2008 Jul 2.
5
Labial skin-flap vaginoplasty using tissue expanders.使用组织扩张器的阴唇皮瓣阴道成形术。
Pediatr Surg Int. 1997 Feb;12(2-3):168-71.
6
Genitoplasty for intersex anomalies.两性畸形的生殖器成形术。
Eur J Pediatr. 1993;152 Suppl 2:S80-4. doi: 10.1007/BF02125446.
7
Perineal reconstruction in ambiguous genitalia infants raised as females.
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