阴道紧缩术治疗中重度阴道松弛症的效果及对阴道微生态的影响  

Effect of vaginal tightening operation in the treatment of moderately severe vaginal laxity and its effect on the vaginal microecology

作　　者：苏远华 杨晓梅 杨雪妮 徐晶 SU Yuanhua;YANG Xiaomei;YANG Xueni;XU Jing(Department of Gynecology,Guizhou Aerospace Hospital,Zunyi 563000,Guizhou,China;Department of Gynaecology and Obstetrics,the First Affiliated Hospital of Zunyi Medical University,Zunyi 563000,Guizhou,China;Department of Gynecology,People′s Hospital of Wuchuan County,Zunyi 564300,Guizhou,China)

机构地区：[1]贵州航天医院妇科,贵州遵义563000 [2]遵义医科大学第一附属医院妇产科,贵州遵义563000 [3]务川县人民医院妇科,贵州遵义564300

出　　处：《中国性科学》2024年第5期86-89,共4页Chinese Journal of Human Sexuality

摘　　要：目的探讨阴道紧缩术治疗中重度阴道松弛症患者的临床效果及对阴道微生态的影响。方法选取2020年1月至2022年12月于贵州航天医院、遵义医科大学第一附属医院及务川县人民医院就诊的150例中重度阴道松弛症患者作为研究对象。按照就诊顺序将患者随机分为观察组(n=74,行阴道紧缩术治疗)、对照组(n=76,行盆底康复物理治疗),比较两组疗效及阴道微生态状况。结果治疗前两组阴道松弛度评分及性生活满意度评分比较,差异无统计学意义(P>0.05);治疗后观察组上述评分高于对照组,差异具有统计学意义(P<0.05)。治疗前两组阴道分泌物线索细胞、假丝酵母菌、毛滴虫异常检出率和Nugent评分比较,差异无统计学意义(P>0.05);治疗后观察组上述指标低于对照组,差异具有统计学意义(P<0.05)。治疗前,两组阴道分泌物菌群多样性、菌群密集度、革兰阳性大杆菌比例、其他细菌比例比较,差异无统计学意义(P>0.05);治疗后观察组上述指标均高于对照组,差异具有统计学意义(P<0.05)。结论阴道紧缩术能较好地改善患者因阴道松弛并发的微生态失调,能纠正患者因阴道松弛而容易反复感染阴道炎症的体质,对阴道松弛症的治疗效果确切。Objective To investigate the clinical effect of vaginal tightening operation in the treatment of patients with moderately severe vaginal laxity and its effect on vaginal microecology.Methods A total of 150 patients with moderately severe vaginal laxity admitted to Guizhou Aerospace Hospital,the First Affiliated Hospital of Zunyi Medical University,and People′s Hospital of Wuchuan County from January 2020 to December 2022 were selected as research subjects.According to the order of treatment,the patients were randomly divided into observation group(n=74,treated by vaginal tightening surgery)and control group(n=76,treated by pelvic floor rehabilitation physical therapy).The treatment effect and vaginal microecological status of the two groups were compared.Results Before treatment,there were no significant differences in vaginal laxity score and sexual satisfaction score between the two groups(P>0.05).After treatment,the above scores in observation group were higher than those in control group,with significant differences(P<0.05).Before treatment,there were no differences in the abnormal detection rate of vaginal secretions clue cells,candida and trichomonas,and Nugent scores between the two groups(P>0.05).After treatment,the above indicators in observation group were lower than those in control group,with significant difference(P<0.05).Before treatment,there were no difference in the normal detection rate between the two groups in terms of bacterial diversity,bacterial density,proportion of Gram positive macrobacilli and proportion of other bacteria(P>0.05).After treatment,the above indicators were higher than those in the control group,with significant difference(P<0.05).Conclusions Vaginal tightening operation can improve microecology disorder caused by vaginal laxity,and correct the characteristics of repeatedly vaginal inflammation caused by vaginal laxity,which has exact therapeutic effect for vaginal laxity treatment.

关 键 词：阴道紧缩术 阴道松弛症 临床效果 阴道微生态 

分 类 号：R711[医药卫生—妇产科学]