| To retrieve the defect of congenital absence of vagina,in the operation of vaginoplasty by peritoneum in treating Mayer-Rokitansky-Kiister-Hauser Syndrome;Explore the feasibility of vaginoplasty by exceptive spot peritoneum---peritoneum in front of urinaria for the patients who it's peritoneum between the two primordial uterus developped bad and the conventional operation was limited. Methods:Clinical data of 23 cases suffering from MRKH Syndrome treatmented in QiLu hospital attached to Shang Dong University were elected,the patients were consummated all auxiliary examination,identified the final diagnosis and finished the preparation before the operation.They were divided two groups according to the developmental conditions of the peritoneum between the two primordial uterus.1 6 patients were treated through vaginoplasty by peritoneum in the pelvis cavity because it's peritoneum between the two primordial uterus developped well and others through vaginoplasty by peritoneum in front of urinaria because it's peritoneum between the two primordial uterus developped bad and the conventional operation was limited.From monitored all of the operation-process and followed-up visited the conditions after the operations,Clinical data of 23 cases were analysised according to operating time,bleeding volume,fever rates after the operation,complications in the operation and after the operation,and the mean in-hospital period after operation,examed the appearance,the length and the breadth of the vagina, examed the level affected by estrin in the vagina and investigated the sexual function by telephone interview.Explore in the operation of vaginoplasty by peritoneum in treating Mayer-Rokitansky-Kiister-Hauser Syndrome;The feasibility of vaginoplasty by exceptive spot peritoneum-peritoneum in front of urinaria for the patients who it's peritoneum between the two primordial uterus developped bad and the conventional operation was limitedResults:The 23 cases were diagnosed to MRHK Syndrome according to the diagnostic Criteri through all examination,4 cases complicating abnormity of urinary system,2 cases complicating scoliosis,1 case complicating a tumour in the pelvis carity,proved left ovarian endometriosis from pathology.Among the cases who were analyzed by statistical methods,the mean operating time in Group A was 135.34±32.48 min and 116.42±28.46 min in Group B.There was no significant difference between these two groups(P＞0.05).The bleeding volume in operation in Group A was 150.28±28.16ml and 140.67±13.78ml in Group B.There was no significant difference between them(P＞0.05).The fever rate after operation in Group A was 23.5%and 16.6%in Group B.There was no significant difference between them (P＞0.05).Two groups haven't complication in operation After operation,3 cases complicating retention of urine in Group A(3/1 7,IN17.64%)and 2 cases in Group B(1/6,IN 16.67%).There was no significant difference between them(P＞0.05),The mean in-hospital period after operation is 10.38t3.67d in Group A and 11.83±4.73d in Group B.There was no significant difference between them(P＞0.05),The patients were rechecked after 6-12 months,all the opithele of the new vagina grew well,it's appearance liked the normal vagina,membrance mucosa was pink and have good elasticity.The new opithele was soft and hygric.The breath of vagina like that of two fingers,the length of the vagina was 8-10cm,vagina specula was setted smoothly.5 cases was maked CE(cytological examination),the new vagina affected by light estrin.which showed the new vagina affected by some estrin.Investigation of sexual life after operation show the average score of group A and group B are 8.24±1.71 and8.00±2.10,the content of sexual life is accepted.According to the score table of the vaginal condition and effect,the average score of group A is 9.53±2.32 and group B is9.67±2.07,the results relatively satisfactory and there was no significant difference between them(P＞0.05).Conclusions:1.The patients of vaginoplasty by peritoneum in front of urinary bladder compired with that of vaginoplasty by peritoneum haven't significant difference,while operating time,bleeding volume,fever rates after the operation,complications in the operation and after the operation,and the mean in-hospital period after operation.,examed the appearance,the length and the breadth of the vagina,sexual function by telephone interview.2.In the operation of vaginoplasty by peritoneum,the peritoneum in front of urinary bladder Can replace it when peritoneum between the two primordial uterus developped bad and the conventional operation was limited. |
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