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结肠阴道的
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  相似匹配句对
     Vascular ectasias of the colon
     结肠血管扩张症
短句来源
     Management of Patients with Colon Injury
     结肠损伤的处理
短句来源
     Transvaginal intratubal insemination
     经阴道的输卵管内人工授精
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     RECONSTRUCTION FOR CONGENITAL ABSENCE OF VAGINA
     先天性无阴道的外科治疗
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  colovaginal
The types of fistulas included colovesical (48%), colovaginal (44%), colocutaneous (4%), colotubal (2%), and coloenteric (2%).
      
Sixty-five percent (60 of 92) of fistulas were colovesical, 25 percent (23 of 92) colovaginal, 6.5 percent (6 of 92) coloenteric, and 3 percent (3 of 92) colouterine fistulas.
      
Hysterectomies had been performed in 50 percent (12 of 24) and 83 percent (19 of 23) of females with colovesical and colovaginal fistulas, respectively.
      
Tandem colovaginoscopy in the diagnosis of colovaginal fistula
      
The diagnosis of colovaginal fistula with the traditional methods of contrast enema, sigmoidoscopy, and vaginal speculum examination can be problematic.
      
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Objective To evaluate vagina reconstruction with the use of sigmoid colon. Methods 21 cases underwent vagina reconstruction with the use of sigmoid colon were reviewed of which 13 were male pseudohermaphrodism and 8 congenital devoid of vagina. Results The appearence of the reconstructed vagina has been good in all the 21 patients.15 of the 21 have been followed up for 3~24 months with no overproduction of mucus and no need of routine dilatation. Conclusions Vagina reconstruction with the use of an isolated...

Objective To evaluate vagina reconstruction with the use of sigmoid colon. Methods 21 cases underwent vagina reconstruction with the use of sigmoid colon were reviewed of which 13 were male pseudohermaphrodism and 8 congenital devoid of vagina. Results The appearence of the reconstructed vagina has been good in all the 21 patients.15 of the 21 have been followed up for 3~24 months with no overproduction of mucus and no need of routine dilatation. Conclusions Vagina reconstruction with the use of an isolated sigmoid loop is an ideal procedure for juveniles and adults.

目的 评价乙状结肠阴道重建术的效果。 方法 回顾总结 13例男性假两性畸形、8例先天性阴道缺如 (Rokitarsky K櫣ster Hauser综合征 )患者采用乙状结肠替代阴道成形术的病例资料。 结果  2 1例术后阴道外观良好。 15例随访 3~ 2 4个月 ,阴道无过多粘液产生 ,无需常规扩张。 结论 游离带蒂乙状结肠是大龄儿或成人阴道重建的理想材料。

Objective To compare the curative effect of two kinds of operative therapy to congenital absence of vagina.Methods Vaginoplasty with sigmoid was applied to 18 cases,and vulvar inguinal skin flap transfer to 5 cases.The differences in the therapeutic effect,operation duration,bleeding,post operative hospitalization and expenses between the two groups were compared.Results Operation success rates were both 100%.No complications occurred. The artificial vaginal cave had enough width and depth,soft and flexible,no...

Objective To compare the curative effect of two kinds of operative therapy to congenital absence of vagina.Methods Vaginoplasty with sigmoid was applied to 18 cases,and vulvar inguinal skin flap transfer to 5 cases.The differences in the therapeutic effect,operation duration,bleeding,post operative hospitalization and expenses between the two groups were compared.Results Operation success rates were both 100%.No complications occurred. The artificial vaginal cave had enough width and depth,soft and flexible,no vaginal model needed,which enabled the patients to have normal intercourse.There was no significant difference in average time spent in operation,post operative hospitalization and expenses( P >0 05).But there was more bleeding in the operation of vaginoplasty with sigmoid( P <0 01).Conclusion Both methods are ideal to those who are congenitally absent of vagina.Vaginoplasty with sigmoid is superior to the other in terms of anatomy,function and vulva morphology.

目的 :比较两种手术方法治疗先天性无阴道的效果。方法 :2 3例先天性无阴道患者 ,采用乙状结肠阴道成形术治疗 18例 ,行阴股沟皮瓣移植阴道成形术治疗 5例 ,对两种手术方法的疗效、手术时间、出血量、术后住院时间和住院费用进行比较。结果 :两种手术方法手术成功率为 10 0 % ,无并发症。人工阴道有足够的宽度和深度 ,柔软而富有弹性 ,术后无需长期佩戴阴道模具 ,性生活满意。平均手术时间、术后住院时间和住院费用两者无显著差异 (P >0 0 5 ) ,乙状结肠阴道成形术者出血量多于阴股沟皮瓣移植阴道成形术者 (P <0 0 1)。结论 :两种方法均为治疗先天性无阴道的理想方法。乙状结肠阴道成形术因形成的人工阴道在解剖和功能上更接近正常阴道、外阴形态正常而优于阴股沟皮瓣移植法。

Objective:To summarize the experience of treating two patients with Mayer-Rokitansky- Kuster-Hauser symdrome by the total laparoscopic and the laparoscopically assisted rectosigmoid colpopoiesis.Methods:For the total laparoscopic technique,the proximal and distal oral level of sigmoid colon was chosen and severed with endoscopic linear cutters respectively,allowing for a segment of 20cm in length.The stump of the rectum and the proximal colon was anastomosed using curved intraluminal stapler.After the space...

Objective:To summarize the experience of treating two patients with Mayer-Rokitansky- Kuster-Hauser symdrome by the total laparoscopic and the laparoscopically assisted rectosigmoid colpopoiesis.Methods:For the total laparoscopic technique,the proximal and distal oral level of sigmoid colon was chosen and severed with endoscopic linear cutters respectively,allowing for a segment of 20cm in length.The stump of the rectum and the proximal colon was anastomosed using curved intraluminal stapler.After the space between the bladder and the rectum was detached,the isolated sigmoid transplant reached the perineum. For the laparoscopically assisted technique,once the distal oral level of sigmoid colon was severed with endoscopic linear cutters,a small incision was made on the left lower abdominal wall through which the proximal sigmoid colon was drawn out of the abdominal cavity.The distal oral of the sigmoid plant was sutured as a cul-de-sac.The anvil of the intraluminal curved stapler was put in and the purse-string suture was made in proximal oral of the descending colon.The remaining procedures were the same as those of total laporoscopic techniques.The length and width of the neovagina were evaluated and measured by clinical examination or by magnetic resonance imaging(MRI).Results:The mucosa of the neovagina of both cases was pinkish and had a moist surface.The neovagina of total laporoscopic technique was 18cm in length and 4cm in diameter,and of the laporoscopically assisted,19cm and 4cm,respectively.No intraoperative or postoperative complications were observed.Conclusoins:The length of the bowel transplant harvested laparoscopically is equal to that achieved with conventional surgery.Compared with laparotomy,total laparoscopic colpopoiesis has various advantages,including its minimally invasive nature and excellent cosmetic result.While there is a small incision (3cm) on the the lower abdominal wall for the laporoscopically assisted colpopoiesis,this technique has the advantages of less time-consuming,less cost and easy to perform.

目的 :总结使用全腹腔镜和腹腔镜辅助下乙状结肠阴道成形术各成功治疗1例Mayer Rokitansky Kuster Hauser综合征 (MRKH综合征 )的经验。方法 :全腹腔镜下使用腔镜闭合切割器切断乙状结肠的近端和远端。自肛门插入腔内圆型吻合器 ,将降结肠与直肠吻合。经会阴于尿道膀胱与直肠之间造穴。将带血管蒂的乙状结肠牵入穴道 ,完成阴道成形。腹腔镜辅助下阴道成形中 ,腔镜闭合切割器切断乙状结肠的远端后 ,于左下腹壁做一辅助切口 ,将近端乙状结肠经此切口拉出至腹腔外。切断乙状结肠近端 ,将乙状结肠的远端开口缝合 2层 ,使之成盲端。近侧端开口置入吻合器之钉钻 ,再行荷包缝合送回腹腔 ,用吻合器行肠吻合。其余步骤同全腹腔镜手术步骤。术后根据临床检查或磁共振成像测量新成形阴道的长度和宽度。结果 :全腹腔镜手术新成形的阴道长 18cm ,宽 4cm。腹腔镜辅助手术新形成的阴道长 19cm ,宽 4cm。两例新形成的阴道黏膜湿润 ,呈粉红色。无术中和术后并发症的发生。结论 :经腹腔镜乙状结肠移植段的长度完全能达到开腹手术的要求。与开放手术比较 ,全腹腔镜乙状结肠代阴道手术在腹壁上不留手术瘢痕 ,美容效果理想。...

目的 :总结使用全腹腔镜和腹腔镜辅助下乙状结肠阴道成形术各成功治疗1例Mayer Rokitansky Kuster Hauser综合征 (MRKH综合征 )的经验。方法 :全腹腔镜下使用腔镜闭合切割器切断乙状结肠的近端和远端。自肛门插入腔内圆型吻合器 ,将降结肠与直肠吻合。经会阴于尿道膀胱与直肠之间造穴。将带血管蒂的乙状结肠牵入穴道 ,完成阴道成形。腹腔镜辅助下阴道成形中 ,腔镜闭合切割器切断乙状结肠的远端后 ,于左下腹壁做一辅助切口 ,将近端乙状结肠经此切口拉出至腹腔外。切断乙状结肠近端 ,将乙状结肠的远端开口缝合 2层 ,使之成盲端。近侧端开口置入吻合器之钉钻 ,再行荷包缝合送回腹腔 ,用吻合器行肠吻合。其余步骤同全腹腔镜手术步骤。术后根据临床检查或磁共振成像测量新成形阴道的长度和宽度。结果 :全腹腔镜手术新成形的阴道长 18cm ,宽 4cm。腹腔镜辅助手术新形成的阴道长 19cm ,宽 4cm。两例新形成的阴道黏膜湿润 ,呈粉红色。无术中和术后并发症的发生。结论 :经腹腔镜乙状结肠移植段的长度完全能达到开腹手术的要求。与开放手术比较 ,全腹腔镜乙状结肠代阴道手术在腹壁上不留手术瘢痕 ,美容效果理想。而腹腔镜辅助下阴道成形 ,虽腹壁留有小手术疤痕 ,但操作简便 ,手术时间短 ,手术费用低

 
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