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先天性无阴道综合征(Mayer-Rokitansky-Küster-Hauser syndrome,MRKH)主要表现为先天性无阴道,发病率为1/4 000～1/5 000。肠道代阴道成形手术是阴道成形方法之一,包括乙状结肠、回肠、直肠、空肠。手术方式包括开腹手术、全腹腔镜手术、腹腔镜辅助下阴道成形手术及无气腹腹腔镜手术。由于腹腔镜技术的相对成熟,现在临床上得到广泛应用,其手术成功率高,成形的人工阴道在形态和功能上都接近正常的阴道,远期效果好,瘢痕较小,患者易于接受。术后并发症发生率较低,包括人工阴道狭窄、肠道吻合口瘘、阴道肠道瘘、人工阴道脱垂、癌变等,通过合理使用人工阴道模具,提高术者操作水平等可降低并发症。
Mayer-Rokitansky-Küster-Hauser syndrome (MRKH) is mainly characterized by congenital absence of the vagina, the incidence of 1/4 000 ~ 1/5 000. Intestinal vaginoplasty is one of the vaginal forming methods, including sigmoid colon, ileum, rectum, jejunum. Surgical methods include laparotomy, total laparoscopic surgery, laparoscopic assisted vaginoplasty and pneumoperitoneum laparoscopic surgery. Due to the relative maturity of laparoscopic technique, it is widely used clinically now. The success rate of operation is high. The formed artificial vagina is close to the normal vagina in shape and function. The long-term effect is good, the scar is small, and the patient is easy to accept. The incidence of postoperative complications is low, including artificial vaginal stenosis, intestinal anastomotic fistula, vaginal intestinal fistula, artificial vaginal prolapse, cancer and so on, through the rational use of artificial vaginal mold to improve the operation of the surgeon can reduce complications .