Chen Y B, Cheng T J, Lin H H, Yang Y S
Department of Surgery, National Taiwan University Hospital.
Plast Reconstr Surg. 1994 Oct;94(5):727-31. doi: 10.1097/00006534-199410000-00027.
Although neovaginal reconstruction has achieved satisfactory results, there is still room for refinement and improvement. Despite its popularity, McIndoe's inlay split-thickness skin graft method still has several significant drawbacks. Here a new approach to neovaginal reconstruction by using a full-thickness skin graft displayed in the fashion of spatial W-plasty is described. Our idea combines the advantages of a full-thickness skin graft and Z-plasty principle in clinical practice. Four patients who had been reconstructed with this method had satisfactory results with minimal secondary contracture and unilateral linear groin scar. Three of them have married and enjoy sexual life without difficulties. The fourth patient has not married but shows no contracture in follow-up examinations. Since the result is encouraging, this method deserves wider clinical application.
尽管新阴道重建已取得令人满意的效果，但仍有改进和完善的空间。尽管麦金杜（McIndoe）的嵌入中厚皮片法很受欢迎，但仍存在几个重大缺点。本文描述了一种通过采用空间W形整形方式的全厚皮片进行新阴道重建的新方法。我们的想法是在临床实践中结合全厚皮片和Z形整形原则的优点。采用这种方法进行重建的4例患者取得了满意的效果，继发性挛缩最小，腹股沟单侧呈线性瘢痕。其中3例患者已结婚，性生活顺利。第4例患者尚未结婚，但在随访检查中未出现挛缩。由于结果令人鼓舞，该方法值得在临床上更广泛地应用。
