加强盆底支持法的阴道紧缩术  

Vaginal tightening surgery by strengthening the pelvic floor support

作　　者：张毛毛[1] 何伟[1] 夏学颖[1] 陈容容[1] 胡葵葵[1] 

机构地区：[1]广州医学院附属广东省妇女儿童医院整形美容科,510010

出　　处：《中华医学美学美容杂志》2015年第1期26-28,共3页Chinese Journal of Medical Aesthetics and Cosmetology

摘　　要：目的 探讨阴道松弛的相关盆底解剖、病理及阴道紧缩术要点.方法 对24例阴道松弛者施行阴道紧缩术.采用问卷调查的方式进行术前评估,手术的关键是紧缩阴道两侧肛提肌和会阴体重建,合并Ⅲ度以上陈旧性会阴裂者要重建肛门括约肌.结果 本组24例术中发现肛提肌分离的程度与阴道松弛的程度呈正相关.18例患者随访6个月至2年,没有出现阴道直肠瘘或感染并发症,会阴体的平均高度从术前的2.3 cm增高到3.5 cm,从阴道口向内6 cm长度的阴道松紧度适宜,均诉肛缩有力,阴道收缩能力增强,术后性生活质量有所提高,无再次出现泌尿和生殖系感染.结论 肛提肌缝合和会阴体重建可加强盆底支持,取得阴道紧缩的效果.Objective To explore the related pelvic floor anatomy to the pathological vaginal relaxation and key points of the vaginal tightening surgery.Methods The vaginal tightening surgery was performed in 24 cases of vaginal relaxation.The key points of this operation included levator ani muscle suturation and perineal body reconstruction,and anal sphincter reconstruction as in case of the muscle injury grade Ⅲ.Results The degree of levator ani muscle separation was positively correlated with that of vaginal relaxation in all the 24 cases.18 cases were followed up from 6 months to 2 years,and had no complications of rectovaginal fistula and infections.The average level of perineal body was increased from 2.3 cm to 3.5 cm.Vaginal length of 6 cm from vaginal orifice was proper with good tightness.The patients felt strong anal contraction,enhanced ability of vaginal tightening and improved quality of sex life.There were no more infections of genitourinary tract.Conclusions Through levator ani muscle suturation and perineal body reconstruction,it can get the vaginal tightening effect.

关 键 词：阴道松弛 阴道紧缩术 肛提肌缝合术 会阴体重建术 

分 类 号：R713.3[医药卫生—妇产科学]