Xiong S, Zhan W, Cheng X, Li G, Zhao T, Yu G, Miao H
Department of Plastic Surgery, Hospital of Bengbu Medical College, Anhui, People's Republic of China.
Plast Reconstr Surg. 1993 Aug;92(2):271-5. doi: 10.1097/00006534-199308000-00011.
This paper presents a new method of vaginal reconstruction. On the basis of anatomic study, we designed an island flap obtained from the upper abdomen to carry the deep inferior epigastric vasculature. At operation, the flap was transferred to the artificial cavity created between the urinary bladder and rectum for vaginal reconstruction. Eight patients received the operation. Complete survival of the flap occurred in seven patients, and one flap failed because of a twist in the flap vascular pedicle. During a follow-up of 6 months to 2 years, it was found that the reconstructed vaginal wall was not only soft but also elastic, and the patients were able to have a satisfying sexual life after marriage.
本文介绍了一种阴道重建的新方法。在解剖学研究的基础上，我们设计了一种取自上腹部的岛状皮瓣，携带腹壁下深血管。手术时，将皮瓣转移至膀胱和直肠之间形成的人工腔隙进行阴道重建。8例患者接受了该手术。7例患者皮瓣完全存活，1例皮瓣因血管蒂扭转而失败。在6个月至2年的随访中，发现重建的阴道壁不仅柔软而且有弹性，患者婚后能够拥有满意的性生活。
