保全阴道黏膜的阴道紧缩术治疗阴道松弛的临床效果  

Clinical effect of vagina tightening to preserve vaginal mucosa in the treatment of vaginal relaxation

作　　者：梅小霞 刘文飞 云子轩 杨思奋 MEI Xiao-xia;LIU Wen-fei;YUN Zi-xuan;YANG Si-fen(Department of Plastic and Cosmetic Surgery,Dongguan Kanghua Hospital,Guangdong Province,Dongguan523080,China)

机构地区：[1]广东省东莞康华医院整形美容外科,广东东莞523080

出　　处：《中国当代医药》2020年第15期97-99,116,共4页China Modern Medicine

基　　金：广东省东莞市科技计划医疗卫生类科研一般项目。

摘　　要：目的探讨保全阴道黏膜的阴道紧缩术治疗阴道松弛的临床效果。方法选取2017年7月~2019年7月我院收治的60例阴道松弛患者进行回顾性研究,按照手术方法的不同将患者分为两组,每组各30例。对照组患者实施传统阴道紧缩术治疗,观察组患者实施保全阴道黏膜的阴道紧缩术治疗。比较两组患者的手术时间、术中出血量、术后并发症总发生率、阴道松弛程度、性功能评分、生活质量评分。结果两组患者的手术时间比较,差异无统计学意义(P>0.05)。观察组患者的术中出血量少于对照组,差异有统计学意义(P<0.05)。观察组患者的术后并发症发生率为0.00%,低于对照组的13.33%,差异有统计学意义(P<0.05)。治疗后,两组患者的阴道松弛程度均优于本组治疗前,差异有统计学意义(P<0.05)。治疗后,观察组患者的阴道松弛程度优于对照组,差异有统计学意义(P<0.05)。治疗后,两组患者的性功能评分、生活质量评分均高于本组治疗前,差异有统计学意义(P<0.05)。治疗后,观察组患者的性功能评分、生活质量评分均高于对照组,差异有统计学意义(P<0.05)。结论保全阴道黏膜的阴道紧缩术可减轻阴道松弛患者的手术创伤,减少术后并发症,可更好地改善阴道松弛情况,有利于改善性功能,提高生活质量。Objective To explore the clinical effect of vagina tightening to preserve vaginal mucosa in the treatment of vaginal relaxation.Methods From July 2017 to July 2019,60 cases of vaginal relaxation treated in our hospital were selected for retrospective study,they were divided into two groups according to the surgical methods,30 cases in each group.The control group was treated with traditional vaginal tightening,and the observation group was treated with vaginal tightening to preserve the vaginal mucosa.The operation time,intraoperative bleeding,total incidence of postoperative complications,vaginal relaxation,sexual function score and quality of life score were compared between the two groups.Results There was no significant difference in operation time between the two groups(P>0.05).The amount of bleeding in the observation group was less than that in the control group,the difference was statistically significant(P<0.05).The total incidence of postoperative complications in the observation group was 0.00%,which was lower than 13.33%in the control group,the difference was statistically significant(P<0.05).After treatment,the relaxation degree of vagina in the two groups was better than that before treatment,the difference was statistically significant(P<0.05),and the relaxation degree of vagina in the observation group was better than that in the control group,the difference was statistically significant(P<0.05).After treatment,the scores of sexual function and quality of life in the two groups were higher than those before treatment,with statistically significant differences(P<0.05),the scores of sexual function and quality of life in the observation group were higher than those in the control group,with statistically significant differences(P<0.05).Conclusion The vagina tightening to preserve the vagina mucosa can reduce the surgical trauma of the patients with vagina relaxation,reduce the postoperative complications,improve the vagina relaxation,improve the sexual function,and improve the quality of life.

关 键 词：阴道紧缩术 保全阴道黏膜 阴道松弛 性功能 

分 类 号：R711[医药卫生—妇产科学]