摘要
自１９９２ 年５ 月以来，应用双侧阴股沟薄皮瓣移位阴道成形术３４ 例。３３ 例皮瓣Ⅰ期成活，１ 例皮瓣尖端因碘纺纱条填塞过紧部分发生坏死，经换药痊愈。应用该方法行阴道成形与传统方法相比，具有皮瓣较薄，术后不臃肿，供受区比较邻近，且转移方便。在切取皮瓣时应靠大阴唇外侧对外阴形态无改变。皮瓣切取范围较大，完全满足手术后的生理需求。该皮瓣是以阴唇后动脉为蒂，血管恒定，血供可靠。切取解剖皮瓣容易，皮瓣弹性较好。因皮瓣含有多种血管神经束，感觉功能好，皮瓣切取后供区可直接拉拢缝合，远期仅留下不明显的线状瘢痕，且无功能影响，切口隐蔽等优点。
Since May 1992, 34 cases of congenital absence of vagina were treated with pudendo-femoral flap transfer for vaginoplasty. in 33 cases the flaps survived with primary lealing. While one flap necrotized at its terminal portion and eventually healed by wound dressing. The flaps was thin and proximate to the perineal region. Post-operatively no overcrowding occurred and it was easy to transfer the plap. As compared with traditional mothod the urogenial appearance is not destroyed. The flaps could be formed in a wide range. The vagina met its physical demands. The flap is easily elevated with reserving vascularization and innervation giving a good sensation after operation. After elevating the flap, the donor site could be closed directly and result in inconspicious liner scar not affecting its function.
出处
《实用美容整形外科杂志》
1999年第6期302-304,共3页
Journal of Practical Aesthetic and Plastic Surgery
关键词
先天性无阴道
阴股沟皮瓣移位
阴道成形
Congenital absence of vagina, Pudendo-femoral flap transfer, Vaginopaspy
