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目的:探讨小阴唇合并阴蒂包皮增生的同期整形方法并进行经验总结。方法:2016年1月至2019年10月，中国医学科学院整形外科医院整形十科治疗小阴唇合并阴蒂包皮增生患者432例，年龄18～46岁，平均28岁。术中先对冗余的阴蒂包皮进行修整，将小阴唇合并阴蒂包皮增生转变为单纯小阴唇增生，再运用适合的边缘切除或楔形切除法进行小阴唇整形术。术后随访观察恢复情况及患者的满意率。结果:术后346例获3～12个月随访，86例失访。324例切口一期愈合，小阴唇形态自然、双侧对称，术后无并发症，患者对手术效果满意；出现血肿2例，双侧不对称9例，边缘形态不规整12例，切口瘢痕增生1例，经相应处理及二次修复后，患者均表示满意。患者整体满意率为93.6%(324/346)。结论:通过分解操作将复杂的小阴唇合并阴蒂包皮增生转变为单纯的小阴唇增生，降低了手术难度，获得更为满意的外观。“,”Objective:To investigate the method of the complex labia minora and clitoris prepuce hypertrophy and summarize the experience.Methods:From January 2016 to October 2019, a total of 432 patients with complex labia minora and clitoris prepuce hypertrophy in the 10th Department of Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, were selected by classification. The patients were 18-46 years old (average 28 years old). The redundant prepuce of clitoris was repaired to transform the complex labia minora and clitoris prepuce hypertrophy into simple labia minora hypertrophy, and then labiaplasty was performed by edge or wedge resection.Results:A total of 346 cases were followed up for 3-12 months, 86 cases were lost. Hematoma occurred in 2 cases, bilateral asymmetry in 9 cases, irregular edge in 12 cases, and scar hyperplasia in 1 case. After respective treatment and secondary repair, the patients were satisfied. The overall satisfaction rate was 93.6%(324/346).Conclusions:Our method, through the decomposition operation, will change the complex shape into simple labia minora hyperplasia, reduce the difficulty of operation at the same time, which can achieve more satisfactory appearance.