CAJ | 학술논문

目的：探讨生物补片人工阴道成形术治疗先天性无阴道的疗效。方法2010年3月～2013年3月，行生物补片人工阴道成形术治疗21例先天性无阴道，于直肠及尿道膀胱间隙人工造穴，百得塞补片置入造穴腔，并指导患者定期更换模具。结果21例手术均获成功，术后8周人工阴道即完全黏膜化，阴道壁柔软、红润，阴道深度＞8 cm，宽度＞3横指。随访9～18个月，有性生活患者（14例）性生活满意。结论生物补片人工阴道成形术是治疗先天性无阴道的可行方法。
목적：탐토생물보편인공음도성형술치료선천성무음도적료효。방법2010년3월～2013년3월，행생물보편인공음도성형술치료21례선천성무음도，우직장급뇨도방광간극인공조혈，백득새보편치입조혈강，병지도환자정기경환모구。결과21례수술균획성공，술후8주인공음도즉완전점막화，음도벽유연、홍윤，음도심도＞8 cm，관도＞3횡지。수방9～18개월，유성생활환자（14례）성생활만의。결론생물보편인공음도성형술시치료선천성무음도적가행방법。
Objective To evaluate the clinical application of vaginoplasty with an acellular dermal matrix patch in the treatment of congenital absence of vagina . Methods This retrospective analysis included 21 patients with congenital absence of vagina referred to our department from March 2010 to March 2013.All the patients underwent vaginoplasty at the gap between the rectum and the urethra with an acellular dermal matrix patch .The clinical course and management were reviewed . Results All the 21 patients underwent vaginoplasty with an acellular dermal matrix patch successfully .The vagina mucosa was formed 8 weeks after vaginoplasty with a depth >8 cm and width >3 cm.After follow-up reviews for 9-18 months, a satistactory feedback of sexual life was obtained in 14 patients who had sexual experiences . Conclusion Vaginoplasty with an acellular dermal matrix patch for patients with congenital absence of vagina can be successfully performed with satisfactory outcomes .