微创阴道紧缩术后并发症:6例病例报道  

Postoperative Complications of Minimally Invasive Vaginal Contraction:A Report of Six Cases

作　　者：常国婧 夏泽楠 张欣然 康圆博 张海林[1] 龙笑[1] 朱琳[1] CHANG Guojing;XIA Zenan;ZHANG Xinran;KANG Yuanbo;ZHANG Haiin;LONG Xiao;ZHU Lin(Department of Plastic and Aesthetic Surgery,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences&Peking Union Medical College,Beijing 100730,China)

机构地区：[1]中国医学科学院北京协和医院整形美容外科,北京100730

出　　处：《协和医学杂志》2024年第6期1468-1474,共7页Medical Journal of Peking Union Medical College Hospital

基　　金：中央高水平医院临床科研专项(2022⁃PUMCH⁃B⁃040)。

摘　　要：近年来,阴道松弛就诊患者逐渐增多,微创阴道紧缩术在临床的开展越来越广泛,但其治疗规范性和安全性尚未充分研究。2021年9月至2023年12月北京协和医院整形美容外科收治了6例行微创阴道紧缩术后出现并发症的患者。患者年龄26~44岁,2例患者为缝线埋置法阴道紧缩术后,4例患者为脱细胞异体真皮置入术后;1例患者出现阴道过紧,1例患者出现皮下线结,2例患者出现脱细胞异体真皮外露,3例患者出现白带变黄、异味等阴道感染症状,6例患者均出现性生活疼痛、不适。针对6例患者的临床特点采取个性化治疗措施,经治疗后6例患者的症状均得以缓解。微创阴道紧缩术的手术时间短、术后恢复快,但术后可能出现并发症,对患者的身心健康造成一定伤害。整形外科医生在手术操作过程中应规范谨慎,避免副损伤,力求为患者带来安全有效的治疗效果。In recent years,the number of patients with vaginal relaxation has increased year by year,and the minimally invasive vaginal contraction has been carried out more and more widely in clinical practice,but the treatment normalization and safety have not been thoroughly studied.We summarized six cases of characteristics and treatment measures for patients with various complications after minimally inva-sive vaginal contraction surgery from September 2021 to December 2023 at Department of Plastic and Aes-thetic Surgery,Peking Union Medical College Hospital.The patientsage ranged from 26 to 44 years.Two cases accepted vaginal contraction with embedded vaginal thread,and four accepted vaginal contraction with acellular allogenic dermis.One patient showed vaginal hyper-tightness,one patient showed subcutane-ous suture nodules,two patients showed explosion of acellular allogenic dermis,and three patients showed vaginal infection symptoms such as yellow leucorrhea and peculiar smell.All patients had sexual pain and dis-comfort.One patient underwent vaginal orifice dilation,one patient underwent suture extraction and secondary vaginal contraction,one patient underwent acellular allogenic dermis extraction and immediate vaginal con-traction,two patients underwent acellular allogenic dermis extraction and secondary vaginal contraction,and one patient underwent secondary vaginal contraction.The symptoms of all six patients were relieved af-ter treatment.Despite the short operation time and fast postoperative recovery of minimally invasive vaginal contraction,there are still complications after surgery,causing physical and mental damage to patients.Plastic surgeons,therefore,should be cautious in the treatment process to avoid collateral damage,so that patients get the best treatment effect.

关 键 词：微创阴道紧缩术 缝线法阴道紧缩术 脱细胞异体真皮 并发症 

分 类 号：R713.31[医药卫生—妇产科学] R619[医药卫生—临床医学]