Karim R B, Hage J J, Dekker J J, Schoot C M
Department of Plastic and Reconstructive Surgery, Academic Hospital of the Free University, Amsterdam, The Netherlands.
Eur J Obstet Gynecol Reprod Biol. 1995 Jan;58(1):19-27. doi: 10.1016/0028-2243(94)01954-6.
The aim of vaginoplasty should be the creation without excessive morbidity of a neovagina that will be satisfying in appearance, function and feeling. The multitude of methods described in the literature indicates the fact that an ideal approach has not yet been found. In this paper the various methods are described and discussed. It is concluded that the non-operative impression technique, the peritoneum pull-through technique and the use of skin grafts are methods of choice. In cases where immediate vaginal reconstruction after oncological surgery is indicated, myocutaneous flaps are preferred. Only in cases in which other methods have failed should recto-sigmoid transplantation be considered.
阴道成形术的目的应该是在不过度增加发病率的情况下，创建一个在外观、功能和感觉上都令人满意的新阴道。文献中描述的众多方法表明，尚未找到理想的方法。本文对各种方法进行了描述和讨论。得出的结论是，非手术印模技术、腹膜牵拉技术和皮肤移植的应用是首选方法。在肿瘤手术后需要立即进行阴道重建的情况下，肌皮瓣是更可取的。只有在其他方法均失败的情况下，才应考虑乙状结肠直肠移植。
