阴道成形术一般用于先天性无阴道患者,形成人工阴道及癌症患者切除阴道后的重建。德国医生 Dupuytren,于1817年首次对1例先天性无阴道患者采用手术治疗。嗣后,许多妇、外科学者相继设计了各种治疗方法,并且逐步加以改进。Warran(1833)于无阴道患者的直肠和膀胱间分离出一隧道,但术后局部感染严重,伤口愈合时即发生瘢痕粘连,后来,许多作者采用了移植自体组织,如肠管、皮瓣、腹膜及异体组织,如羊膜、阴道粘膜作为复盖物等方法。Snegireff(1892)试用移植直肠,Balwnin(1907)采用移植小肠的方法。这两种方法的操作步骤都较复杂,出血感染的机会较多,术后死亡率较高。Ruge(1914)提出乙状结肠移植法,此术操作虽较复杂,合并症较多,但效果较佳。采用皮瓣者有带蒂皮瓣和游离皮瓣两种。最早采用带蒂皮瓣的是 Beck(1900),后 Giraves 利用小阴唇及大阴唇内侧皮肤形成四片带蒂皮瓣贴 Vaginoplasty is generally used in congenital non-vaginal patients, the formation of artificial vaginal and cancer patients after reconstruction of the vagina. German doctor Dupuytren, in 1817 for the first time in a case of congenital absence of vaginal surgery. Subsequently, many women and surgeons successively designed various treatment methods and gradually improved them. Warran (1833) isolated a tunnel between the rectum and the bladder of a non-vaginal patient, but the post-operative local infection was severe and scar adhesions occurred when the wound healed. Later, many authors used autologous tissue transplants such as bowel, flaps, peritoneum And allogeneic tissue, such as amniotic membrane, vaginal mucosa as cover and other methods. Snegireff (1892) try to transplant the rectum, Balwnin (1907) using the method of transplanting the small intestine. The procedures for these two methods are more complex, more opportunities for bleeding infection, postoperative mortality is higher. Ruge (1914) proposed sigmoid colon transplantation, although the operation is more complicated, more complications, but the effect is better. Flap flap with flap and free flap two. The earliest use of pedicled flap is Beck (1900), after Giraves use of the labia minora and labia majora inner skin formation of four pieces of skin flap