中央楔形切除及非对称性Z形切口法小阴唇缩小术

目的 探讨中央楔形切除及非对称性Z形切口小阴唇缩小术的临床应用效果.方法 在借鉴Giraldo术式基础上,提出了数值化的切口设计和组织切除;改变Z形切口为不对称的矩形瓣加斜行切口;小阴唇内外侧面反向设计.整形后的小阴唇近游离缘为两个矩形瓣相嵌合,其再与近小阴唇基底部的一斜行切口线相接.小阴唇内外两侧面的切口分别为反向设计.使之两侧面的切口相互错开,没有明显重叠.结果 应用治疗11例小阴唇肥大患者,小阴唇游离缘弧度自然、切口两侧无明显色差.结论 本术式定点准确,设计规则,掌握容易,适应证广,对不同程度的小阴唇肥大均适用.

Central wedge resection and asymmetric Z-plasty for minor labia reduction

Objective To investigate the therapeutic effect of central wedge resection and asymmetric Z-plasty for minor labia reduction. Methods Based on the Giraldo procedure, the incision was designed and the redudent tissue was resected quantitatively. The Z-plasty was modified to rectangle flap with deviated incision. The incisions at the two surface of minor labia were designed in an opposited direction. The two rectangle flaps were inserted to form the free edge of minor labia. Results 11 cases of minor labia hypertrophy were treated with good results. Conclusions The modified procedure is easily performed with precise design. It is suitable for all kinds of minor labia hypertrophy.