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目的:介绍阴股沟皮瓣阴道成形术的手术方法及临床应用经验。方法:对20例先天性无阴道患者采用阴股沟皮瓣移位法阴道成形术;其中,已婚但性生活困难者4例,未婚者16例。染色体检查均为XX核型,第二性征发育正常。合并前庭直肠瘘1例。结果:20例患者手术均获成功。成形后的人工阴道质软,富有弹性,术后不需配带阴道模具,性生活满意。结论:本术式创伤和痛苦小,易于解剖和切取,术后不破坏外阴形态,值得推广。
OBJECTIVE: To introduce the operation method and clinical experience of vaginal incision of the genital flap. Methods: Twenty cases of congenital absence of vagina were treated by vaginal flap graft vaginoplasty. Among them, 4 were married but their sexual life was difficult, and 16 were unmarried. Chromosome examination are XX karyotype, the second sexual characteristics of normal development. One case of merger vestibular fistula. Results: Twenty patients had successful operation. After the formation of artificial vagina soft, flexible, postoperative vaginal mold without matching, sex life satisfaction. Conclusion: The trauma and pain of this operation is small, easy to dissect and cut, postoperative does not destroy the vulva shape, it is worth promoting.