Joseph V T
Department of Paediatric Surgery, Singapore General Hospital, Singapore.
J Pediatr Surg. 1997 Jan;32(1):62-5. doi: 10.1016/s0022-3468(97)90095-6.
Children with abnormal genitalia associated with intersex anomalies or cloacal malformations require vaginal reconstruction. Although many procedures using skin grafts, skin flaps, and intestinal segments have been described, they all have disadvantages. In the present study 12 patients with genital defects who required vaginoplasty underwent surgery using a new technique using bilateral pudendal-thigh flaps based on the posterior labial artery. There were six patients with congenital adrenal hyperplasia (CAH), three with vaginal atresia, two with cloacal deformities, and one with testicular feminizing syndrome. Four of the CAH patients and the two with cloaca underwent vaginoplasty as second-stage procedures. All other cases were treated with one-stage operations. This method of vaginoplasty can be combined with correction of other associated abnormalities, and it has proved to be simple and reliable with satisfactory functional and cosmetic results.
患有与两性畸形或泄殖腔畸形相关的生殖器异常的儿童需要进行阴道重建。尽管已经描述了许多使用皮肤移植、皮瓣和肠段的手术方法，但它们都有缺点。在本研究中，12例需要阴道成形术的生殖器缺陷患者采用了一种基于阴唇后动脉的双侧阴部大腿皮瓣新技术进行手术。其中6例为先天性肾上腺皮质增生症（CAH）患者，3例为阴道闭锁患者，2例为泄殖腔畸形患者，1例为睾丸女性化综合征患者。4例CAH患者和2例泄殖腔畸形患者接受了二期阴道成形术。所有其他病例均采用一期手术治疗。这种阴道成形术方法可与其他相关异常的矫正相结合，并且已被证明简单可靠，功能和美容效果令人满意。
