【摘要】 目的:探讨单孔腹腔镜联合阴道造穴乙状结肠代阴道成形术治疗先天性无阴道(MRKH综合征)患者的临床可行性。方法:回顾性分析河北医科大学第二医院2007年1月至2017年12月接受腹腔镜下乙状结肠代阴道成形术治疗MRKH综合征患者65例,其中单孔腹腔镜联合阴道造穴乙状结肠代阴道成形术37例(单孔腹腔镜组),腹腔镜下乙状结肠代阴道成形术28例(传统腹腔镜组)。比较两组患者术中、术后情况,并采用女性性功能量表(FSFI评分)对性生活质量进行调查分析。结果:单孔腹腔镜组的手术时间低于传统腹腔镜组,差异有统计学意义(P<0.05);术中出血量、术后住院时间、术后排气时间、术后并发症比较,差异无统计学意义(P>0.05)。两组的FSFI评分满意率比较,差异无统计学意义(P>0.05)。结论:单孔腹腔镜联合阴道造穴乙状结肠代阴道成形术是安全可行的,手术时间较传统腹腔镜短。更多还原

【Abstract】 Objective:To investigate the clinical feasibility of transumbilical laparoendoscopic single-site surgery combined with vaginal cavitation in sigmoid colon vaginoplasty in the treatment of MRKH syndrome.Methods:The total of 65 patients with MRKH syndrome,who had accepted laparoendoscopic sigmoid colon vaginoplasty from January 2007 to December 2017 were enrolled.The clinical documents of trans-umbilical laparoendoscopic single-site combined with vaginal cavitation in sigmoid colon vaginoplasty(group A,n=37) and conventional laparoscopic sigmoid colon vaginoplasty(group B,n=28) were retrospectively analyzed.The intraoperative and postoperative conditions in both groups were compared.The female sexual function scale(FSFI score) was used to investigate and analyze the quality of sexual life.Results:The operation time of group A was shorter than that of group B.The difference was statistically significant(P<0.05).No significant difference was detectedin blood loss,hospital stay after operation or postoperative complications between the two groups(P>0.05).There was no significant difference in FSFI score between the two groups(P>0.05).Conclusions:The transumbilical laparoendoscopic single-site surgery combined with vaginal cavitation sigmoid colon vaginoplasty is feasible and safe.The operation time could be shorter compared with conventional surgery.更多还原