阴道后壁黏膜切除联合埋没引线缝合法治疗产后阴道松弛症疗效分析  

Treatment of Postpartum Vaginal Relaxation by Vaginal Posterior Wall Mucosal Resection Combined with Buried Suture

作　　者：段秀芳 龚祖华 DUAN Xiu-fang;GONG Zu-hua(Department of Obstetrics and Gynecology,Shiyan Maternal and Child Health Hospital,Shiyan 442000,Hubei,China;Department of Hepatobiliary Surgery,Union Medical College Affiliated to Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430022,Hubei,China)

机构地区：[1]十堰市妇幼保健院妇产科,湖北十堰442000 [2]华中科技大学同济医学院附属协和医院肝胆外科,湖北武汉430022

出　　处：《中国美容医学》2019年第10期34-37,共4页Chinese Journal of Aesthetic Medicine

摘　　要：目的:探讨阴道后壁黏膜切除联合埋没引线缝合法对产后阴道松弛症的疗效。方法:选择2017年3月-2018年3月收治的产后阴道松弛症患者100例作为研究对象,按照随机表法分为A组50例与B组50例。A组采用阴道后壁黏膜切除联合埋没引线缝合法治疗,B组采用阴道后壁环肌紧缩术治疗。比较两组患者术后12个月性生活满意度、阴道松弛程度和手术指标变化及治疗前后阴道黏膜指标变化。结果:A组术后12个月性生活满意度(88.00%)高于B组(70.00%),且A组术后12个月阴道松弛度改善优于B组,差异均有统计学意义(P<0.05)。两组术中出血量和术后并发症发生率比较差异无统计学意义(P>0.05)。两组治疗后阴道黏膜弹性、阴道湿润度和阴道黏膜上皮评分较治疗前增加,且A组高于B组(P<0.05)。结论:阴道后壁黏膜切除联合埋没引线缝合法应用于产后阴道松弛症,可有效改善患者阴道松弛程度,值得临床借鉴。Objective To investigate the effect of vaginal posterior wall mucosal resection combined with buried suture and vaginal posterior wall circular muscle constriction on postpartum vaginal relaxation.Methods The 100 patients with postpartum vaginal relaxation admitted from March 2017 to March 2018 were selected as the study subjects.They were randomly divided into group A(50 cases)and group B(50 cases).Group A was treated by vaginal posterior wall mucosal resection combined with buried suture,and group B was treated by vaginal posterior wall circular muscle contraction.The twelve months after operation changes of sexual life satisfaction,vaginal relaxation and surgical index,vaginal mucosal index before and after treatment were compared between the two groups.Results The sexual life satisfaction of twelve months after operation group A(88.00%)was higher than that of group B(70.00%),and the improvement of vaginal relaxation twelve months after operation in group A was better than that in group B,the differences were statistically signi ficant(P<0.05).There was no signi ficant difference in intraoperative bleeding and complications between the two groups(P>0.05).After treatment,the vaginal mucosal elasticity,vaginal wetness and vaginal mucosal epithelial score of the two groups were higher than those of the control group,and group A was higher than group B(P<0.05).Conclusion The effect of vaginal posterior wall mucosal resection combined with buried suture is better than that of vaginal posterior wall circular muscle tightening,which is worthy of clinical reference.

关 键 词：产后阴道松弛症 阴道后壁黏膜切除 埋没引线缝合法 阴道后壁环肌紧缩术 

分 类 号：R622[医药卫生—整形外科]