Hendren W H, Atala A
Department of Surgery, Children's Hospital, Boston, Massachusetts.
J Urol. 1994 Aug;152(2 Pt 2):752-5; discussion 756-7. doi: 10.1016/s0022-5347(17)32698-8.
There is a wide range of congenital vaginal abnormalities that can be reconstructed using bowel. From 1964 to 1993 we used bowel for vaginal reconstruction in 65 patients and all but 5 were treated since 1981. Patient age ranged from 9 months to 26 years. In 29 patients the bowel was used to extend a short vagina to the perineum, and in 36 the entire vagina was absent and required a substitute vagina. Indications for surgery included cloacal malformations in 34 cases, congenital absence of vagina in 12, cloacal exstrophy in 9 genetic male subjects, postoperative exenteration in 7, intersex in 2 and bladder exstrophy in 1. Rectum was used in 12 cases, sigmoid colon in 27 and small bowel in 26. Ten patients who are now adults have reported satisfactory coitus.
有多种先天性阴道异常情况可用肠道进行重建。1964年至1993年，我们对65例患者采用肠道进行阴道重建，其中除5例之外，其余均自1981年起接受治疗。患者年龄从9个月至26岁不等。29例患者使用肠道将会阴处短小的阴道进行延长，36例患者整个阴道缺失，需要替代阴道。手术指征包括泄殖腔畸形34例、先天性无阴道12例、9例基因男性患者的泄殖腔外翻、7例术后盆腔脏器清除术、2例两性畸形以及1例膀胱外翻。12例使用直肠，27例使用乙状结肠，26例使用小肠。10名现已成年的患者报告性交情况令人满意。
