【摘要】 目的评估乙状结肠阴道成形术治疗M ayer-R ok itansky-K uster-H auser(M RKH)综合征的可行性。方法对32例乙状结肠阴道成形术患者的技术参数、手术及术后并发症、术后阴道解剖学及功能学指标进行分析。结果手术时间130~180 m in;术后Hb下降15~33 g/L;术中并发直肠损伤1例,术后并发腹部刀口感染1例、泌尿系统感染1例;住院时间9~22 d;成形阴道长度10~12 cm、宽度≥2指(约4 cm)。术后0.5 a阴道分泌物明显减少。24例有规律性生活者,术后0.5~1 a基本满意。结论乙状结肠阴道成形术是治疗M RKH综合征的有效方法。更多还原

【Abstract】 Objective:To assess the technical feasibility of sigmoid colon vaginoplasty in patients with Mayer-Rokitansky-Kuster-Hauser(MRKH) syndrome.Methods: 32 patients with MRKH syndrome underwent sigmo-id colon vaginoplasty.The operative technique and the operation complications,the anatomical and functional results of the neovagina were evaluated.Results: The mean operation duration was 156 min(range 130～180 min).The mean fall of haemoglobin was 20 g/L(range 15~33 g/L).The complications included rectal injury(n=1),urinary tract infection(n=1),infection in incision wound(n=1).The mean hospital stay was 10.6 d(range 9~22 d).The mean length of neovagina was 10.7 cm(range 10~12 cm) and the width was about 4 cm.There was an obvious decrease of the discharge and stink of neovagina in the initial 6 months.The patients with regular intercourse achieved satisfaction in half a year or one year after operation.Conclusion: sigmoid colon vaginoplasty is an effective approach MRKH syndrome.更多还原