腹腔镜与开腹腹膜阴道成形术的比较
Journal of Guangxi Medical University(2009)
Abstract
目的:探讨腹腔镜腹膜阴道成形术在妇科领域的应用价值。方法:26例先天性无阴道采用腹腔镜腹膜阴道成形术10例(腹腔镜组),开腹腹膜阴道成形术16例(开腹组),对两组患者的手术情况,阴道情况以及性生活满意度等进行比较。结果:两组手术均成功,两组均无手术并发症及术后病率,腹腔镜组手术时间(120±46.16)min,开腹组手术时间(220±60.17min)(P<0.05);腹腔镜组术中出血(71±7.15)mL,开腹组出血(200±15.17)mL(P<0.05);腹腔镜组阴道长度(10.0±0.17)cm,开腹组阴道长度(10.04±0.24)cm,两组差异无统计学意义(P>0.05),腹腔镜组性生活满意程度与开腹组两组无显著差异。结论:腹腔镜腹膜阴道成形术具有创伤小、手术时间短、简单、安全、不易损伤膀胱尿道与直肠、不破坏外阴形态、形成阴道符合阴道生理状态等优点,达到微创手术的目的,是理想的阴道成形方法
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