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腹腔镜在阴道发育不全手术治疗中的应用:腹腔镜辅助阴道成形术及会阴子宫切除术加阴道成形术

Laparoscopy in surgical treatment of vaginal aplasia: laparoscopy-assisted colpopoiesis and perineal hysterectomy with colpopoiesis.

作者信息

Adamian L V, Zurabiani Z R, Kiselev S I, Khashukoeva A Z

机构信息

Scientific Center for Obstetrics, Gynecology and Perinatology Russian Academy of Medical Sciences Moscow, Russia.

出版信息

Int J Fertil Menopausal Stud. 1996 Jan-Feb;41(1):40-5.

PMID:8673155
Abstract

OBJECTIVE

To optimize methods of surgery in patients with malformations of the genitalia.

METHODS

Comparative evaluation of effectiveness of reconstructive plastic operations for malformations of uterus and vagina, performed by conventional methods or via laparoscopy.

RESULTS

Laparoscopy permits identification of the pelvic peritoneum plus opening it and using the most mobile portion to create the vaginal fornix. In patients with vaginal and cervical aplasia and non-communicating functional rudimentary uterus, laparoscopy assists hysterectomy performed by the vaginal approach, as well as the last step of colpopoiesis.

CONCLUSIONS

Laparoscopy significantly facilitates the procedure, reduces operating time and risks, and makes the operation available to the wide range of surgeons skilled in laparoscopy.

摘要

目的

优化生殖器畸形患者的手术方法。

方法

对采用传统方法或通过腹腔镜进行的子宫和阴道畸形重建整形手术的有效性进行比较评估。

结果

腹腔镜检查能够识别盆腔腹膜并打开它,利用最可移动的部分形成阴道穹窿。对于阴道和宫颈发育不全以及非交通性功能性残角子宫的患者,腹腔镜检查有助于经阴道途径进行子宫切除术以及阴道成形术的最后一步。

结论

腹腔镜检查显著简化了手术过程,减少了手术时间和风险,并使该手术可供广泛的腹腔镜技术熟练的外科医生使用。

相似文献

1
Laparoscopy in surgical treatment of vaginal aplasia: laparoscopy-assisted colpopoiesis and perineal hysterectomy with colpopoiesis.腹腔镜在阴道发育不全手术治疗中的应用:腹腔镜辅助阴道成形术及会阴子宫切除术加阴道成形术
Int J Fertil Menopausal Stud. 1996 Jan-Feb;41(1):40-5.
2
[Surgical management of pelvic organ prolapse in women: laparoscopic or vaginal sacrocolpopexy?].[女性盆腔器官脱垂的外科治疗:腹腔镜或阴道骶骨固定术?]
Gynecol Obstet Fertil. 2008 Oct;36(10):978-83. doi: 10.1016/j.gyobfe.2008.05.007. Epub 2008 Sep 26.
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Assessing the role of laparoscopically assisted vaginal hysterectomy in the everyday practice of gynecology.评估腹腔镜辅助阴式子宫切除术在妇科日常实践中的作用。
J Reprod Med. 1996 Jul;41(7):521-8.
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Laparoscopically assisted vaginal radical hysterectomy.腹腔镜辅助下经阴道根治性子宫切除术
Best Pract Res Clin Obstet Gynaecol. 2005 Jun;19(3):377-86. doi: 10.1016/j.bpobgyn.2004.12.001. Epub 2005 Jan 25.
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Laparoscopically assisted vaginal hysterectomy in a university hospital. Decreasing the need for abdominal hysterectomy and increasing resident experience in vaginal surgery.大学医院中的腹腔镜辅助阴道子宫切除术。减少腹部子宫切除术的需求并增加住院医师在阴道手术方面的经验。
J Reprod Med. 1996 Jul;41(7):497-503.
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Laparoscopic versus abdominal hysterectomy.腹腔镜子宫切除术与经腹子宫切除术对比
J Reprod Med. 1992 Mar;37(3):247-50.
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Surgical approach to hysterectomy: abdominal, laparoscopy-assisted, or vaginal.
Clin Obstet Gynecol. 1997 Dec;40(4):886-94. doi: 10.1097/00003081-199712000-00024.
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Quality assurance applied to laparoscopically assisted vaginal hysterectomy: a pilot study.应用于腹腔镜辅助阴式子宫切除术的质量保证:一项试点研究。
J Qual Clin Pract. 1994 Sep;14(3):121-9.
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Vaginal robot-assisted radical hysterectomy (VRARH) after laparoscopic staging: feasibility and operative results.腹腔镜分期后经阴道机器人辅助根治性子宫切除术(VRARH):可行性及手术结果
Int J Med Robot. 2009 Mar;5(1):38-44. doi: 10.1002/rcs.229.
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Laparoscopic-assisted vaginal hysterectomy: is it a genuine alternative?腹腔镜辅助阴式子宫切除术:它是一种真正的替代方案吗?
Semin Perioper Nurs. 1995 Jul;4(3):158-61.

引用本文的文献

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Systematic review of sexual function and satisfaction following the management of vaginal agenesis.阴道发育不全治疗后性功能与满意度的系统评价
Int Urogynecol J. 2014 Oct;25(10):1313-20. doi: 10.1007/s00192-013-2316-3. Epub 2014 Feb 15.
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Dilation and surgical management in vaginal agenesis: a systematic review.阴道闭锁的扩张术及手术治疗:一项系统评价
Int Urogynecol J. 2014 Mar;25(3):299-311. doi: 10.1007/s00192-013-2221-9. Epub 2013 Oct 10.
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Role of laparoscopy in vaginal malformation.腹腔镜检查在阴道畸形中的作用。
Surg Endosc. 2004 Jan;18(1):87-91. doi: 10.1007/s00464-002-9210-2. Epub 2003 Nov 21.