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以人工阴道形成术治疗先天性无阴道的方法很多。基本上都是在膀胱、尿道和直肠之间分离一个空隙,并以适当组织作为腔壁。最早用羊膜移植覆盖形成一层纤维素样支架,使阴道前庭的上皮沿其向内移行生长,形成阴道壁。以后用病人自身的皮片覆盖人工阴道的创而,形成阴道壁。这两种术式术后需长期放置阴道模型,并且失败率较高。此后又有学者取用病人自身的肠管来代替人工阴道腔壁。Baldwin 氏以小肠,Schubert 以直肠旷置作为人工阴道的腔壁。但术式复杂,死亡率较高。Rage(1913)以乙状结肠形成阴道,后由秦氏将
There are many ways to treat congenital absence of vagina by artificial vaginoplasty. Basically, there is a void between the bladder, urethra and rectum, with proper tissue as the luminal wall. The earliest use of amniotic membrane transplantation to form a layer of cellulose-like stent, so that the vaginal vestibule of the epithelium along its inward migration of growth, the formation of the vaginal wall. After the patient’s own skin covering artificial vaginal wound, the formation of the vaginal wall. Both procedures require long-term placement of the vaginal model and the failure rate is high. Since then, some scholars take the patient’s own bowel to replace the artificial vaginal wall. Baldwin’s small intestine, Schubert rectal exclusion as the artificial vaginal wall. However, complicated surgical procedures, higher mortality. Rage (1913) to the sigmoid colon to form the vagina, after Qin’s will