外阴阴道成形术是利用外阴组织作游离瓣膜相对缝合而成阴道壁,用以治疗先天性阴道缺如或阴道狭窄。Williams于1975年首次报道65例,取得良好效果。我院自1978年10月以来进行了4例手术,术后随访效果较好。兹介绍如下: 手术方法术前准备与传统的阴道成形术相同。在腰麻下进行手术。术时,患者取膀胱截石位,但两髋不宜过分屈曲,双膝亦不宜过于分开,以减少缝合皮肤时的张力。置Folly氏导尿管。用蘸有龙胆紫的棉扦作外阴切口标记,标记如马蹄形凹面向上,其底部横跨舟状窝,两侧至大阴唇的最隆起处即紧贴阴毛边缘内侧,向上方弯至尿道口以上,两侧距尿道口各4厘米(图1,见插页2)。用组织钳夹住大阴唇外侧并向外牵引,暴露手术野。用0.3毫克肾上腺素稀 Vaginoplasty is the use of the vulva tissue for free flap relative suture into the vaginal wall for the treatment of congenital absence of the vagina or vaginal stenosis. Williams first reported 65 cases in 1975, with good results. Our hospital since October 1978 for 4 cases of surgery, postoperative follow-up better. Here are the introduction: Surgical procedures Preoperative preparation with the same traditional vaginoplasty. Under spinal anesthesia surgery. Surgery, patients with bladder lithotomy position, but the two hips should not be too much flexion, knees should not be too divided to reduce the tension when the skin suture. Set Folly’s catheter. With a cotton dipped gentian violet vulva incision marks, such as the horseshoe-shaped concave upward, its bottom across the boat nest, both sides of the labia majora climax to the bulge that is close to the inner edge of pubic hair, curved upward to the urethra Above, both sides of the urethra 4 cm (Figure 1, see insert 2). Clamp the outside of the labia majora with tissue forceps and pull it outward to expose the surgical field. With 0.3 mg of epinephrine thinning