全阴道切除及乙状结肠阴道成形术治疗早期阴道癌的术式探讨

发布时间：2019-06-11 22:25

【摘要】：目的回顾性评价全阴道切除术及乙状结肠阴道成形术在早期阴道癌患者中的治疗价值。方法严格选取2010年1月-2011年12月诊断为早期阴道癌并且有性生活需求的女性患者2例,采用全阴道切除术治疗,并同时采用乙状结肠法进行阴道重建,评价手术时间、术中出血、术中术后并发症及术后性生活满意程度。结果患者平均手术时间为(275.0±49.5)min,平均出血量为(297.5±24.7)ml,2例患者手术后均恢复良好,随访过程中无手术晚期并发症,无复发。采用乙状结肠法进行阴道重建后,2例患者均未出现阴道狭窄,术后性生活满意,女性性功能评分(FSFI)平均为(27.2±1.34)。结论尽管全阴道切除术对手术技术要求较高,目前应用相对较少,但全阴道切除术仍是早期阴道癌手术治疗方法中的重要手段。对于有性生活需求的患者,全阴道切除术及乙状结肠阴道成形术是治疗早期阴道癌的理想方法。
[Abstract]:Objective to evaluate the value of total vaginectomy and sigmoid vaginoplasty in the treatment of early vaginal cancer. Methods from January 2010 to December 2011, 2 female patients with early vaginal cancer and sexual needs were strictly selected and treated with total vaginectomy, and vaginal reconstruction was performed with sigmoid colon method to evaluate the operation time, intraoperative bleeding, intraoperative and postoperative complications and the satisfaction of sexual life after operation. Results the average operation time was (275.0 卤49.5) min,. The average blood loss was (297.5 卤24.7) ml,2. There were no late complications and no recurrence during the follow-up. After vaginal reconstruction with sigmoid colon method, no vaginal stricture was found in all the 2 patients, and the sexual life was satisfactory after operation. The average (FSFI) of female sexual function score was (27.2 卤1.34). Conclusion Total vaginal resection is still an important method in the treatment of early vaginal cancer, although it requires high technical requirements and is less used at present. For patients with sexual needs, total vaginectomy and sigmoid vaginoplasty are ideal methods for the treatment of early vaginal cancer.
【作者单位】：中国医科大学附属盛京医院妇产科;
【基金】：国家自然科学基金(No:81202047) 辽宁省自然科学基金计划(No:201202265) 辽宁省医学高峰建设工程(No:2010696) 沈阳市社会发展科技攻关专项(No:F11-262-9-15) 中国医科大学附属盛京医院“盛京自由研究者”计划(No:200806)
【分类号】：R737.34

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