前庭黏膜联合阴股带蒂皮瓣移植治疗先天性阴道闭锁患者性生活质量的研究  

Clinical value of vestibular mucosa combined with shares pedicle flap pedicle for congenital vaginal atresia

作　　者：叶晖[1] 刘燕[1] 程英祝 

机构地区：[1]宝鸡市中医医院产科,陕西宝鸡721001

出　　处：《中国性科学》2016年第8期62-64,共3页Chinese Journal of Human Sexuality

摘　　要：目的:探讨前庭黏膜联合阴股带蒂皮瓣移植治疗先天性阴道闭锁临床价值,并分析其对患者术后性生活质量的影响。方法:选择2010年1月至2015年2月我院收治的先天性阴道闭锁患者80例,按照随机数字法分为两组,各40例,观察组进行前庭黏膜联合阴股带蒂皮瓣移植,对照组使用单纯游离皮片移植治疗,选择大腿内侧皮片进行移植。比较两组术后1个月和6个月时阴道长度、宽度,术后瘢痕形成影响美观、毛发生长及性交无分泌物情况、性功能质量,及术后使用模具时间及开始性生活时间。结果:观察组术后1个月和术后6个月其阴道长度均长于对照组相应时间(P<0.05),宽度则宽于对照组相应时间(P<0.05),观察组瘢痕形成影响美观、毛发生长及性交无或少分泌物的比例显著少于对照组(P<0.05),观察组性欲望、性兴奋、性高潮、疼痛、阴道潮湿和性满意度6项得分均显著高于对照组(P<0.05),观察组总分高于对照组(P<0.05),观察组术后使用模具时间短于对照组,开始性生活时间早于对照组(P<0.05)。结论:前庭黏膜联合阴股带蒂皮瓣移植治疗先天性阴道闭锁术后恢复快,手术并发症少,能显著改善患者术后性功能,提高生活质量。Objectives： To investigate the clinical value of vestibular mucosa combined with shares pedicle flap pedicle for congenital vaginal atresia. Methods： 80 patients with congenital vaginal atresia from January 2010 to February 2015 in our hospital were chosen and randomly divided into two groups,each of 40 cases. The observation group received vestibular mucosa combined with shares pedicle flap pedicle,and the control group received free skin graft treatment. Postoperative vaginal length,width,scar formation,appearance,hair growth and secretions,the quality of sexual function and postoperative period using a mold and beginning sexual life 1 month and 6 months after treatment were compared. Results： The vaginal length and width of observation group 1 month and 6 months after was longer and wider than control group respectively（ P〈0. 05）. The incidence of scarring affecting appearance,hair growth and secretions in observation group was significantly less than control group（ P〈0. 05）. The scores of sexual desire,sexual arousal,orgasm,pain,vaginal moisture and sexual satisfaction in observation group were significantly higher than control group（ P〈0. 05）,so as the total score（ P〈0. 05）. The time of using mold was shorter than control group,and that of starting having sex was earlier than control group（ P〈0. 05）. Conclusions： Vestibular mucosa combined with shares pedicle flap pedicle for congenital vaginal atresia has rapid recovery and fewer complications,which can significantly improve postoperative sexual function and quality of life.

关 键 词：前庭黏膜 阴股带蒂皮瓣移植 先天性阴道闭锁 

分 类 号：R713.3[医药卫生—妇产科学]