阴道旁修补术联合提肛锻炼治疗重度阴道松弛症疗效探讨  

Clinical Efficacy of Paravaginal Repair Combined with Anal Lifting Exercise in the Treatment of Severe Vaginal Laxity

作　　者：林莉香 云红叶[1] LIN Lixiang;YUN Hongye(Department of Obstetrics and Gynecology,Haikou Affi liated Hospital of Central South University Xiangya School of Medicine,Haikou 570208,Hainan,China)

机构地区：[1]中南大学湘雅医学院附属海口医院妇产科,海南海口570208

出　　处：《中国美容医学》2022年第6期55-58,共4页Chinese Journal of Aesthetic Medicine

摘　　要：目的:探讨阴道旁修补术联合提肛锻炼治疗重度阴道松弛症的临床效果。方法:将2018年10月-2020年10月中南大学湘雅医学院附属海口医院妇产科收治的重度阴道松弛患者80例随机分为常规组和锻炼组,每组40例。常规组采用腹腔镜下改良的阴道旁修补术治疗,锻炼组在常规组基础上结合提肛锻炼。比较两组临床疗效、阴道松弛情况、性生活质量、盆底肌力和排尿控制满意度。结果:与常规组相比,锻炼组总有效率和排尿控制满意度明显较高,差异有统计学意义(P<0.05)。与治疗前相比,治疗后两组阴道松弛问卷评分、性生活质量问卷评分、性功能量表评分和盆底肌力指标(Ⅰ类纤维强度、Ⅱ类纤维强度、Ⅰ类纤维收缩时间、Ⅱ类纤维收缩数量)均明显升高,且锻炼组明显高于常规组,差异有统计学意义(P<0.05)。结论:阴道旁修补术联合提肛锻炼治疗重度阴道松弛症效果显著,可改善患者的阴道松弛状况,提高性生活质量、盆底肌功能和对排尿控制的满意度。Objective To explore the clinical effect of paravaginal repair combined with anal lifting exercise in the treatment of severe vaginal relaxation.Methods 80 patients with severe vaginal laxity collected in our hospital from October 2018 to October 2020 were randomly divided into the routine group and the exercise group,40 cases in each group.The routine group was treated with modified vaginal repair under laparoscope,and the exercise group was combined with anal lifting exercise on the basis of the routine group.The clinical efficacy,vaginal relaxation,sexual life quality,pelvic floor muscle strength and micturition control satisfaction of the two groups were compared.Results Compared with the routine group,the total effective rate and satisfaction of micturition control in the exercise group were significantly higher,the differences were statistically significant(P<0.05).Compared with before treatment,the vaginal relaxation questionnaire score,sexual life quality questionnaire score,sexual function scale score and pelvic floor muscle strength index of typeⅠfiber strength,typeⅡfiber strength,typeⅠfiber contraction time and typeⅡfiber contraction quantity of the two groups were significantly increased after treatment,and the exercise group was significantly higher than the routine group(P<0.05).Conclusion The effect of paravaginal repair combined with anal lifting exercise in the treatment of severe vaginal relaxation is significant,which can improve the vaginal relaxation status of patients,improve the quality of sexual life,pelvic floor muscle function and satisfaction with micturition control.

关 键 词：阴道松弛症 重度 阴道旁修补术 提肛锻炼 性生活质量 盆底肌力 

分 类 号：R713.3[医药卫生—妇产科学]