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阴道成形术失败后,常致直肠、尿道、膀胱间隙瘢痕形成,再次分离造穴极易损伤邻近器官,在瘢痕上植活穴壁也较困难。我院对1例人工阴道成形术后瘢痕患者利用乙状结肠代阴道法,行再次成形术获得成功,现报道如下。病历摘要患者23岁,已婚。1983年11月23日入院。因婚后不能性生活曾在某医院诊为先天性无阴道子宫缺如,并用皮片做穴壁行阴道成形术,术后置模型困难,仍不能性生活而被迫离婚。检查:外阴发育正常,阴道前庭、尿道口后方有1×1cm陷窝,肛查直肠前壁触及6×2×2cm硬韧组织,盆腔空虚,未触及子宫和附件。1983年11月30日以乙状结肠袋做穴壁行再次阴道成形术,经过顺利。1984年1月1日痊愈出院。1984年2月2日再次结婚,性生活正常。经一年半随访,置大号玻璃模型松畅。
Vaginal angioplasty failure, often caused by the rectum, urethra, bladder gap scar formation, re-separation of crevices can easily damage the adjacent organs, in the scar on the living wall more difficult. In our hospital, one case of scar after artificial vaginoplasty using sigmoid colon vaginal method, the success of re-plasty, are reported below. Patient 23 years old, married. November 23, 1983 admission. Because of marriage can not be sex life in a hospital diagnosed as congenital absence of vaginal uterus, and the use of pimples wall line vaginoplasty, postoperative model is difficult to set, still can not sex and forced to divorce. Check: normal vulva development, vaginal vestibule, posterior urethra 1 × 1cm lacuna, rectal examination of the anterior rectum touches 6 × 2 × 2cm hard and tough tissue, empty pelvis, uterus and annexes have not been touched. Nov. 30, 1983 to the sigmoid colon pocket wall row again vaginoplasty, after a smooth. January 1, 1984 recovered and discharged. February 2, 1984 married again, normal sex life. After a year and a half follow-up, set the large glass model loose smooth.