摘要目的 观察小阴唇肥大伴阴蒂包皮过长同期手术修复的疗效和安全性.方法 2013年6月至2016年12月,空军军医大学附属西京医院整形外科收治小阴唇肥大伴阴蒂包皮过长患者84例,肥大的小阴唇使用阴唇边缘弧形切除,阴蒂过长包皮使用新月形切除,二者同期进行,用5-0快吸收线缝合,术后随访.结果 84例中伤口一期愈合82例,2例水肿严重并出现渗出,2周左右水肿消退后逐渐愈合.术后随访3～36个月,28例单侧小阴唇肥大及56例为双侧小阴唇肥大患者矫正后满意,两侧对称.30例会阴不适手术后症状消失,效果非常满意;54例要求改善会阴形态,手术后会阴形态满意,性生活较前好转.未见伤口感染 、裂开 、血肿等并发症.结论 小阴唇肥大伴阴蒂包皮过长同期修复安全可靠,该术式简单,避免皮瓣血肿 、坏死等并发症,满足外阴形态修复同时增加了性敏感度.

abstractsObjective To evaluate the clinical outcome of reduction plasty for labia minora hy-pertrophy with redundant praeputium clitoridis .Methods A total of 84 cases were included from June 2013 to December 2016 .Arc-shaped resection of labia minora and crescent resection of redundant pra-eputium clitoridis were the two essntial surgical procedure ,and 5-0 VICRYL Rapide was used for su-turing the incision .Results The 84 cases were operated with this mothod with satisfactory aesthetic result .Complications ,such as hematoma ,infection and poor wound healing ,were not observed .Ede-ma was resoluted after one to two weeks .After the reduction plasty of the labial labia ,the vagina and perineum were completely covered in the natural state ,without scar ,also the sensitivity of clitoris was improved due to the better expoure post-operationally .Conclusions The same-stage reduction plasty for labia minora hypertrophy with redundant praeputium clitoridis is a reliable and effective method . Both satisfactory aesthetic result and improved sexual sensitivity are achived ,without hematoma ,in-fection and poor wound healing .