埋没导引针缝合法和阴道后壁黏膜切除法治疗阴道松弛的临床效果比较  

Comparison of clinical efficacy between vaginal tightening surgeries of buried lead needle suture and vaginal posterior wall mucosa excision for treatment of vaginal relaxation

作　　者：陈晓芳 胡守舵 刘恿铂 姬东硕 黎静 

机构地区：[1]北京市中西医结合医院整形美容科,100039

出　　处：《中华医学美学美容杂志》2015年第2期80-83,共4页Chinese Journal of Medical Aesthetics and Cosmetology

摘　　要：目的 比较埋没导引针缝合法和阴道后壁黏膜切除法两种阴道紧缩术治疗轻度、中度阴道松弛的临床效果.方法 将符合标准的71例轻度、中度阴道松弛者完全随机分为观察组（39例）和对照组（32例）.观察组行埋没导引针缝合法,对照组行阴道后壁黏膜切除法.分析观察两组手术时间、术中出血量、阴道分泌物颜色、术后伤口愈合情况及并发症,于术后6、12、24个月评价两组受术者的性生活满意度.结果 两组在手术时间、阴道分泌物颜色差异无统计学意义（P＞0.05）.观察组术中出血量（6.23±2.43）ml少于对照组（15.79±7.31） ml,差异有统计学意义（P＜0.05）.随访期间两组的性生活质量满意度差异有统计学意义（P＜0.05）.所有受术者均无切口感染及阴道松弛加重等并发症.结论 对于轻度、中度阴道松弛者,埋没导引针缝合法阴道紧缩术不损伤阴道黏膜,阴道内不留瘢痕,并发症少,是改善阴道松弛者性生活质量较为简单而有效的方法.Objective To compare the clinical effects of needle buried suture and the posterior wall of vagina mucosa excision vaginal tightening surgery for the treatment of mild to moderate vaginal relaxation.Methods A total of 71 patients with mild to moderate vaginal relaxation were randomly divided into observation group （39 cases） and control group （32 cases）.The patients in the observation group were given buried lead needle suture,and the control group were treated with posterior wall of vagina mucosa resection.Analysis of two groups was conducted in patients with operation time,intraoperative bleeding,vaginal secretion color,postoperative wound healing and complications;sexual satisfaction was evaluated after 6,12 and 24 months in two groups of patients.Results There was no significant difference between two groups in operation time and vaginal secretion color （P〉 0.05）.Intraoperative blood loss was much more in the observation group than those in the control group,with statistically significant differences between the two groups [（6.23±2.43） ml vs （15.79 ± 7.31） ml,P〈0.05）].The follow-up for a number of months showed that sexual satisfaction had significant difference between the two groups （P〈0.05）.None of the patients had rectal or urethral injury,no fistula,incision infection or other complications occurred,and the incision healed in stage Ⅰ.Conclusions For patients with mild to moderate vaginal relaxation,buried lead needle suture vaginal tightening surgery does not damage the vaginal mucosa,no scar,and fewer complications,which is a more simple and effective method to improve the quality of life in patients with vaginal relaxation.

关 键 词：阴道松弛 阴道紧缩术 埋没导引针 

分 类 号：R713.3[医药卫生—妇产科学]