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目的研究严重缺损的处女膜破裂修复方法。方法选择缺损严重的处女膜破裂患者共36例,利用传统瓦合式处女膜黏膜瓣法形成外翻的处女膜黏膜瓣,同时在缺损处形成阴道黏膜舌形瓣,将两个外翻的处女膜黏膜瓣创缘分别和阴道黏膜舌形瓣的创缘重叠缝合。结果36例患者中,1个月随访,一次性修补成功30例,成功率为83%;9例长期随访患者,第一次性交处女膜均有明显出血。结论处女膜黏膜瓣联合阴道内黏膜瓣瓦合式缝合法是修补严重缺损的破裂处女膜的有效方法。
Objective To study the hymen repair method of severe defect. Methods A total of 36 patients with ruptured hymen rupture were selected. The conjunctival hymen mucosal flap was formed by the traditional tile-type hymen mucosa flap method. At the same time, a vaginal mucosal flap was formed on the defect. Two everted hymen mucosal flap edges Respectively, and vaginal mucosal flap flap overlap edge suture. Results Thirty-six patients were followed up at one month, and 30 cases were successfully repaired at one time. The success rate was 83%. Nine patients with long-term follow-up had obvious hemorrhage in the first sexual intercourse hymen. Conclusion The combination of hymen mucosal flap and intravaginal mucosal flap fusion is an effective method to repair severely damaged ruptured hymen.