[摘要]目的:探索一种有效的处女膜修补术。方法:修剪处女膜裂隙两侧粘膜,形成前后交错、宽约4mm的两个瓦合粘膜瓣,拉拢后间断缝合,最后于处女膜中段行荷包减张缝合,然后根据切口愈合情况评价手术疗效。结果:本组173例,其中143例术后3个月至半年获得随访,伤口一期愈合者115例,占80.42%;伤口80%以上愈合者14例,占9.79%;切口愈合低于80%者14例,占9.79%。结论:瓦合粘膜瓣及荷包减张缝合的处女膜修补术是一种有效的手术方式,值得推广。

    [关键词]瓦合粘膜瓣;荷包缝合;处女膜修补术

    [中图分类号]R713.2+1[文献标识码]A[文章编号]1008-6455(2010)02-0160-02

    A hymenorrhaphy with the overlapping mucosal flaps and purse string suture

    GOU Qing-fen,YAO Cui-ying,FU Bing-chuan

    (Department of Plastic and Cosmetic Surgery,Tianyou Hospital Affiliated to Wuhan University of Science and Technology,Wuhan 430064,Hubei,China)

    Abstract:ObjectiveTo explore an effective hymenorrhaphy.MethodsWe trimmed the mucosa on both sides of hymen's crack and obtained two overlapping anteroposterior mucosal flaps with the width of 4 mm.The flaps were intersected anteroposteriorly.We then drew together to suture the flaps interruptedly.Finally we purse-string sutured the midpiece of the hymen. We evaluated the effect of the treatment according to the degree of healing.Results143 of 173 cases in total were followed-up after three to six months. Primary healing was observed in 80.42 percent of total cases (n=115). The rate of wound healing was beyond 0.8 in 9.79 percent of cases (n=14). The rate was below 0.8 in the rest of 9.79 percent of cases (n=14).ConclusionThe application of the overlapping mucosal flaps combined with purse string suture is an effective hymenorrhaphy and deserves popularization. ......