CAJ | 학술논문

目的：探讨MRKH综合征（Mayer-Rckitansky-kuster-Hauser Syndrome）的临床特点、诊断及治疗。方法：2005年2月-2014年2月，本院妇科共选择了10例MRKH综合征患者作为研究对象，然后回顾性的分析10例MRKH患者的临床资料。其中，2例患者（结肠组）行结肠代阴道成形术；1例患者（皮瓣组）采用皮瓣代阴道成形术；7例患者（腹膜组）采用腹腔镜下腹膜代阴道成形术。结果：结肠代阴道成形术耗时3.5 h，皮瓣代阴道成形及腹膜代阴道成形术耗时分别为2 h及1.5 h。三组相比，腹膜组的患者性生活满意度最高。结论：MRKH手术方式很多，但腹腔镜下腹膜代阴道成形术的效果较为显著，能够提高患者性生活的质量，安全、微创，所以在阴道成形术中，是一种较好的选择。另外，对患者进行医学心理综合治疗，并对其进行长期随访也是有必要的。
목적：탐토MRKH종합정（Mayer-Rckitansky-kuster-Hauser Syndrome）적림상특점、진단급치료。방법：2005년2월-2014년2월，본원부과공선택료10례MRKH종합정환자작위연구대상，연후회고성적분석10례MRKH환자적림상자료。기중，2례환자（결장조）행결장대음도성형술；1례환자（피판조）채용피판대음도성형술；7례환자（복막조）채용복강경하복막대음도성형술。결과：결장대음도성형술모시3.5 h，피판대음도성형급복막대음도성형술모시분별위2 h급1.5 h。삼조상비，복막조적환자성생활만의도최고。결론：MRKH수술방식흔다，단복강경하복막대음도성형술적효과교위현저，능구제고환자성생활적질량，안전、미창，소이재음도성형술중，시일충교호적선택。령외，대환자진행의학심리종합치료，병대기진행장기수방야시유필요적。
Objective: To explore the clinical characteristics, diagnosis and treatment of Mayer-Rokitansky-Kuster-Hauser syndrome.Method: 10 cases with MRKH from February 2005 to February 2014 in our hospital were selected as the research objects, then the clinical data of them was analyzed retrospectively. Among them, two patients (colon group) underwent Colon Vaginoplasty, one patient (group of free skin flap ) was given the skin flap vaginoplasty, and 7 cases (peritoneal group) were given the laparoscopic peritoneal vaginoplasty for vaginoplasty treatment.Result:The time of Colon Vaginoplasty was 3.5 hours, and the time of the skin flap vaginoplasty and the laparoscopic peritoneal vaginoplasty were 2 hours and 1.5 hours respectively. The three groups were compared, the satisfaction of patients’sex life of peritoneal generation group was highest (P<0.05).Conclusion: In MRKH operation treatments, laparoscopic peritoneal vaginoplasty makes patients’ sexual life satisfy, and it is safe, minimally invasive and good effect. So in the vaginoplasty, it is a good choose. In addition, it is necessary for patients to give them medical psychological treatment and the long-term follow-up.