PDF(Pubmed)
Abstract：
BACKGROUND: Vulvar stenosis is a debilitating condition that compromises sexual function, urination, and the ability to undergo gynecological examinations. The purpose of this study is to describe the technique of capillary perforator perineal flaps (CPPF) for the correction of vulvar stenosis.
METHODS: We retrospectively examined patients with vulvar stenosis treated through surgical separation and reconstruction with CPPF. The procedure involved vulvar separation with the creation of a subsequent defect, repaired using a flap, harvested laterally to the labia majora including a capillary perforator and transferred through a subcutaneous tunnel to repair the vulvar defect. The functional outcome was evaluated with the Bradford scale, comparing the preoperative and postoperative scores using the Student\'s t-test.
RESULTS: thirteen patients were included, three with stenosis following treatment for vulvar cancer and ten due to lichen sclerosus. In total, we analyzed 29 flaps, with an average size of 15.6 cm2. We always included just one perforator in the flap and no postoperative complications. Stenosis was resolved in all patients, with no recurrences one year after the surgery. The preoperative average severity of the stenosis was 2.3 + 0.6, reducing to 0.3 + 0.4 post-intervention, indicating a significant improvement (p < 0.01).
CONCLUSIONS: CPPF has proven to be a quick and safe method for the reconstruction of vulvar stenosis.
METHODS: We retrospectively examined patients with vulvar stenosis treated through surgical separation and reconstruction with CPPF. The procedure involved vulvar separation with the creation of a subsequent defect, repaired using a flap, harvested laterally to the labia majora including a capillary perforator and transferred through a subcutaneous tunnel to repair the vulvar defect. The functional outcome was evaluated with the Bradford scale, comparing the preoperative and postoperative scores using the Student\'s t-test.
RESULTS: thirteen patients were included, three with stenosis following treatment for vulvar cancer and ten due to lichen sclerosus. In total, we analyzed 29 flaps, with an average size of 15.6 cm2. We always included just one perforator in the flap and no postoperative complications. Stenosis was resolved in all patients, with no recurrences one year after the surgery. The preoperative average severity of the stenosis was 2.3 + 0.6, reducing to 0.3 + 0.4 post-intervention, indicating a significant improvement (p < 0.01).
CONCLUSIONS: CPPF has proven to be a quick and safe method for the reconstruction of vulvar stenosis.
摘要：
背景：外阴狭窄是一种损害性功能的衰弱状况，排尿,以及接受妇科检查的能力。本研究的目的是描述毛细血管穿支会阴皮瓣（CPPF）矫正外阴狭窄的技术。
方法：我们回顾性研究了通过手术分离和CPPF重建治疗的外阴狭窄患者。该程序涉及外阴分离并产生随后的缺陷，用皮瓣修复，横向收获到大阴唇，包括毛细血管穿孔器，并通过皮下隧道转移以修复外阴缺损。用布拉德福德量表评估功能结果，使用学生t检验比较术前和术后评分。
结果：共纳入13例患者，三例外阴癌治疗后狭窄，十例硬化苔藓。总的来说,我们分析了29个皮瓣,平均尺寸为15.6cm2。我们总是在皮瓣中只包括一个穿孔器，没有术后并发症。所有患者的狭窄都得到了解决，手术后一年没有复发.术前狭窄的平均严重程度为2.3±0.6，干预后降低至0.3±0.4，表明显著改善(p<0.01)。
结论：CPPF已被证明是一种快速，安全的外阴狭窄重建方法。
方法：我们回顾性研究了通过手术分离和CPPF重建治疗的外阴狭窄患者。该程序涉及外阴分离并产生随后的缺陷，用皮瓣修复，横向收获到大阴唇，包括毛细血管穿孔器，并通过皮下隧道转移以修复外阴缺损。用布拉德福德量表评估功能结果，使用学生t检验比较术前和术后评分。
结果：共纳入13例患者，三例外阴癌治疗后狭窄，十例硬化苔藓。总的来说,我们分析了29个皮瓣,平均尺寸为15.6cm2。我们总是在皮瓣中只包括一个穿孔器，没有术后并发症。所有患者的狭窄都得到了解决，手术后一年没有复发.术前狭窄的平均严重程度为2.3±0.6，干预后降低至0.3±0.4，表明显著改善(p<0.01)。
结论：CPPF已被证明是一种快速，安全的外阴狭窄重建方法。
