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目的:探讨腹腔镜腹膜代阴道成形术与腹腔镜辅助乙状结肠代阴道成形术在先天性无阴道疾病治疗中的临床应用价值。方法:选取2003年1月~2013年12月该院收治的40例先天性无阴道患者,其中25例行腹腔镜辅助乙状结肠代阴道成形术为结肠组,15例行腹腔镜腹膜代阴道成形术为腹膜组,比较两种术式的围手术期参数及术后疗效。结果:40例患者均在腹腔镜下成功完成手术,腹膜组手术时间、术中出血量、住院时间及住院费用均优于结肠组,两组比较,差异有统计学意义(P<0.05)。术后随访发现,两组性功能指数量表(FSFI)总评分比较,差异无统计学意义(P<0.05)。结论:腹腔镜腹膜代阴道成形术和腹腔镜辅助乙状结肠代阴道成形术术后疗效相仿,但腹腔镜腹膜代阴道成形术更方便、经济、微创,值得临床推广应用。
Objective: To investigate the clinical value of laparoscopic peritoneal vaginoplasty and laparoscopic assisted sigmoid colon vaginoplasty in the treatment of congenital absence of vaginosis. Methods: Forty cases of congenital absence of vagina from January 2003 to December 2013 in our hospital were selected. Among them, 25 cases underwent laparoscopic assisted sigmoid colostomy for the colon group and 15 cases underwent laparoscopic peritoneal vaginoplasty For the peritoneal group, the perioperative parameters and postoperative efficacy of the two surgical procedures were compared. Results: All the 40 patients underwent laparoscopic surgery. The peritoneal operation time, intraoperative blood loss, hospital stay and hospitalization cost were all better than those in the colon group. There was significant difference between the two groups (P <0.05). After follow-up, there was no significant difference between the two groups (P> 0.05) in total score of sexual function index (FSFI). Conclusions: Laparoscopic peritoneal vaginoplasty and laparoscopic assisted sigmoid colon vaginoplasty have similar curative effect. However, laparoscopic peritoneal vaginoplasty is more convenient, economical and less invasive and is worthy of clinical application.