中外医疗
中外醫療
중외의료
CHINA FOREIGN MEDICAL TREATMENT
2015年
12期
85-86,138
,共3页
羊膜代阴道成形术%先天性无阴道%临床疗效
羊膜代陰道成形術%先天性無陰道%臨床療效
양막대음도성형술%선천성무음도%림상료효
Amniotic membrane generation vaginoplasty%Congenital absence of vagina%Clinical curative effect
目的：分析羊膜代阴道成形术的临床治疗效果，得出其临床治疗意义。方法整群选取该院2011年3月-2013年8月该院收治的先天性无阴道患者48例，将其随机分为实验组和对照组，实验组采用羊膜代阴道成形术治疗，对照组采用外阴皮瓣移植法，评估两组患者术后结果，观察术后阴道恢复情况。结果两组患者手术均成功，其中采用羊膜代阴道成形术手术时间为(102±22.6)min，阴道术中出血(82±12.6)mL，阴道长度(10.2±0.15)。而采用外阴皮瓣移植法手术的患者手术时间为(154±25.6)，阴道术中出血(102±12.6)mL，阴道长度(6.2±0.25)。实验组患者的手术时间和术中出血量明显少于对照组，且实验组的阴道长度和宽度明显大于对照组，组间差异有统计学意义(P<0.05)。结论羊膜代阴道成形术具有创伤小、手术时间短、术中出血量少的优势，且术中不会伤害肠道黏膜和膀胱粘膜，不破坏阴道形态，对于治疗先天性无阴道疾病具有显著疗效。
目的：分析羊膜代陰道成形術的臨床治療效果，得齣其臨床治療意義。方法整群選取該院2011年3月-2013年8月該院收治的先天性無陰道患者48例，將其隨機分為實驗組和對照組，實驗組採用羊膜代陰道成形術治療，對照組採用外陰皮瓣移植法，評估兩組患者術後結果，觀察術後陰道恢複情況。結果兩組患者手術均成功，其中採用羊膜代陰道成形術手術時間為(102±22.6)min，陰道術中齣血(82±12.6)mL，陰道長度(10.2±0.15)。而採用外陰皮瓣移植法手術的患者手術時間為(154±25.6)，陰道術中齣血(102±12.6)mL，陰道長度(6.2±0.25)。實驗組患者的手術時間和術中齣血量明顯少于對照組，且實驗組的陰道長度和寬度明顯大于對照組，組間差異有統計學意義(P<0.05)。結論羊膜代陰道成形術具有創傷小、手術時間短、術中齣血量少的優勢，且術中不會傷害腸道黏膜和膀胱粘膜，不破壞陰道形態，對于治療先天性無陰道疾病具有顯著療效。
목적：분석양막대음도성형술적림상치료효과，득출기림상치료의의。방법정군선취해원2011년3월-2013년8월해원수치적선천성무음도환자48례，장기수궤분위실험조화대조조，실험조채용양막대음도성형술치료，대조조채용외음피판이식법，평고량조환자술후결과，관찰술후음도회복정황。결과량조환자수술균성공，기중채용양막대음도성형술수술시간위(102±22.6)min，음도술중출혈(82±12.6)mL，음도장도(10.2±0.15)。이채용외음피판이식법수술적환자수술시간위(154±25.6)，음도술중출혈(102±12.6)mL，음도장도(6.2±0.25)。실험조환자적수술시간화술중출혈량명현소우대조조，차실험조적음도장도화관도명현대우대조조，조간차이유통계학의의(P<0.05)。결론양막대음도성형술구유창상소、수술시간단、술중출혈량소적우세，차술중불회상해장도점막화방광점막，불파배음도형태，대우치료선천성무음도질병구유현저료효。
Objective To analyze the clinical therapeutic effects of amniotic membrane for vaginoplasty, and its clinical signifi-cance. Methods 16 patients with congenital no vagina in our hospital from March 2011 to August 2013, will be randomly divided into experimental group and control group, experimental group treated by amniotic membrane generation of vaginoplasty, control group adopts the vulvar skin flap grafting, evaluate the results of two groups of patients, observe the postoperative vaginal recovery. Results Two groups of patients are performed successfully, which adopts the amniotic vaginoplasty operation time for (102±22.6) min, intraoperative bleeding in the vagina (82±12.6) mL, vaginal length (10.2±0.15). In patients with vulvar skin flap grafting surgery operating time for (154±25.6) min, intraoperative bleeding in the vagina (102±12.6) mL, vaginal length (6.2±0.25). Experi-mental operation time and intraoperative blood loss in patients with significantly less than the control group, and the vaginal length and width of the experimental group significantly greater than the control group, the difference between groups was statistically sig-nificant (P<0.05). Conclusion Amniotic membrane generation of vaginoplasty with small trauma, shorter operation time, intraopera-tive blood loss less advantage, and won't hurt in the intestinal mucosa and bladder mucosa, does not destroy the vagina form, for the treatment of congenital vaginal disease has significant curative effect.
