CO2点阵激光治疗阴道松弛综合征的效果  

Clinical efficacy of fractional CO2 laser treatment for vaginal relaxation syndrome

作　　者：李朝阳[1] 宋文婷[1] 段云燕[2] 朱霆[3] 王延婷[1] 高琳[1] Li Zhaoyang;Song Wenting;Duan Yunyan;Zhu Ting;Wang Yanting;Gao Lin(Department of Dermatology,Xijing Hospital,Fourth Military Medical University,Xi'an 710032,China;Department of Imaging Diagnosis,Xi'an Medical University,Xi'an 710021,China;Department of Ultrasound Medicine,Xijing Hospital,Fourth Military Medical University,Xi'an 710032,China)

机构地区：[1]第四军医大学西京皮肤医院,西安710032 [2]西安医学院影像诊断教研室,710021 [3]第四军医大学西京医院超声医学科,西安710032

出　　处：《中华医学美学美容杂志》2020年第3期220-223,共4页Chinese Journal of Medical Aesthetics and Cosmetology

摘　　要：目的探讨CO2点阵激光治疗女性阴道松弛综合征的临床疗效和安全性。方法2016年12月至2017年5月,第四军医大学西京皮肤医院收治21例阴道松弛综合征患者,年龄29~55岁,平均46.1岁,均为分娩后妇女。用Femilift CO2点阵激光治疗共3次,每次间隔1个月。根据治疗前后阴道指检、阴道压力及维持时间、阴道超声、盆底结构磁共振成像检查,尿失禁患者行尿失禁评分等指标评估临床疗效和安全性。结果21例阴道松弛综合征患者经CO2点阵激光阴道内微创治疗后,患者自觉阴道松弛症状缓解,尤其是治疗前后性生活及尿失禁症状改善明显。21例患者治疗后阴道压力测试评分和女性性功能指数总评分较治疗前均有不同程度的提高,与治疗前比较差异有统计学意义(P<0.05)。13例合并尿失禁患者的尿失禁评分与治疗前比较有显著性降低,差异有统计学意义(P<0.05)。21例患者在治疗过程中均未出现感染、出血、疼痛等不良反应。结论CO2点阵激光对改善女性阴道松弛综合征造成的性生活障碍及压力性尿失禁短期内效果明显。Objective To evaluate the clinical efficacy and safety of fractional CO2 laser for the treatment of vaginal relaxation syndrome.Methods Twenty-one females with vaginal relaxation syndrome receiced between December 2016 and January 2017 in our department were treated for 3 times at 1 month interval with femilift fractional CO2 laser.Vaginal palpation,vaginal squeeze pressure test,vaginal ultrasound,pelvic floor MRI,and Incontinence Questionnaire Short-Form(ICIQ-SF)assessments were performed at baseline and at post-treatment.Results Significant improvement in female sexual dysfunction and stress urinary incontinence was especially seen based on patient's feelings after treatments.A noted progressive differences were observed in FSFI and vaginal pressure test,which were much higher after treatment than before treatment(P<0.01).Moreover,in 13 cases suffering from mild to moderate stress urinary incontinence(SUI),fractional CO2 laser treatment was associated with a significant improvement of ICIQ-SF scores(P<0.01).All subjects successfully completed the study with no adverse events such as infections,bleeding and pain,etc.Conclusions Fractional CO2 laser treatment is an effective treatment for female sexual dysfunction and stress urinary incontinence caused by vaginal relaxation syndrome.

关 键 词：阴道 尿失禁 压力性 阴道松弛综合征 Femilift CO2点阵激光 女性性功能指数 

分 类 号：R711.73[医药卫生—妇产科学]