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腹壁下动脉蒂上腹岛状皮瓣阴道成形术

Vaginal reconstruction with an upper abdminal island flap

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【作者】 熊世文程新德展望李光早赵天兰于光生苗华刘文华

【Author】 Xiong Shi-wen,Department of Plastic Swgery,Affiliated Hospital of Bengbu Medical College,Anhui

【机构】 蚌埠医学院附属医院整形外科蚌埠医学院解剖教研室蚌埠市第一人民医院妇产科 邮政编码:233004邮政编码:233004

【摘要】 在腹壁应用解剖学研究的基础上,设计以腹壁下动静脉为蒂的上腹岛状皮瓣,经耻骨联合后移转至于膀胱和直肠之间剥离的腔穴内形成阴道。共已8例,1例失败,成功的7例经随访检查,阴道壁柔软而富有弹性,已婚者性生活满意。

【Abstract】 This paper presents a method for vaginal reconstruction.On the basis of anatomic studies, we designed an island flap obtained from the upper abdomen,with the blood supply from the deep inferior epigastric artery.At the time of operation,this flap was transferred under the symphysis pubis to the artificial space created between the urinary bladder and rectum.The operation was done on 7 patients and complete survival of the flap was seen in 6 cases.The failure was due to a twist of the flap vessel pedicle.The patients were followed up for 6 months to 2 years,and it was found that the vaginal wall was not only pliahle but elastic,and the mar- ried patients enjoyed a satisfactory sexual life.

【关键词】 阴道成形岛状皮瓣
  • 【被引频次】13
  • 【下载频次】9
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