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.
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.
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。
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