摘要
目的探索新型点阵式CO2激光治疗产后阴道松弛症的临床疗效及可行性。方法纳入陆军军医大学第一附属医院2016年11月至2018年11月于妇产科产后盆底康复门诊诊断为阴道松弛症患者共120例。使用新型点阵式CO2激光治疗仪阴道内进行治疗,一次治疗只需10~15 min,每月治疗1次,每一疗程包括4次治疗,对患者治疗前及整个疗程结束后1个月进行客观及主观的指标观察及分析。客观指标包括阴道松弛程度、阴道健康指数(vaginal health index score, VHIS),主观观察指标采用女性性功能指标量表(female sexual function index, FSFI),同时治疗结束时行治疗满意度调查。结果客观疗效评估中,阴道松弛程度明显改善;同时对所有纳入治疗的患者进行阴道健康指数评分,患者首次激光治疗前,第1、2、3次治疗和治疗后1个月妇科客观查体VHIS评分分别是(10.87±2.18)、(15.67±1.87)、(19.13±2.81)、(20.11±1.98)分和(20.34±1.69)分,VHIS评分明显改善(P<0.05)。主观疗效评估中,比较治疗后患者的FSFI总分、阴道润滑度、阴道松弛情况、性生活满意度均提高,差异有统计学意义(P<0.05);性欲评分、性唤起评分及性高潮评分治疗前后差异无统计学意义(P>0.05)。进行新型点阵CO2激光治疗后VHIS评分明显改善(P<0.05)。治疗结束时行治疗满意度调查满意度较高。结论新型点阵CO2激光治疗为阴道松弛症的治疗提供了一种微创性治疗手段,其可行性较强,无需麻醉和镇痛,可于门诊完成,患者的耐受性及依从性均较强,能够有效改善阴道松弛症症状。
Objective To investigate the clinical efficacy and feasibility of a new type fractional CO2 laser in the treatment of postpartum vaginal relaxation. Methods A total of 120 patients who were diagnosed with postpartum vaginal relaxation in our postpartum pelvic rehabilitation clinic of the obstetrics and gynecology department were included during November 2016 to November 2018. A new type fractional CO2 laser (10~15 min, once per month, 4 times as a course) was used for intravaginal treatment. Objective and subjective indicators before and 1 month after a course of treatment were observed and analyzed. Objective indicators include the degree of vaginal relaxation, vaginal health index (VHIS), and subjective indicators were from the Female Sexual Function Scale (FSFI). Satisfaction survey of treatment was carried out at the end of treatment for all of them. Results In the objective evaluation, the degree of vaginal relaxation was significantly improved;The VHIS score was 10.87±2.18, 15.67±1.87, 19.13±2.81, 20.11±1.98 and 20.34±1.69, respectively before, after 1st, 2nd and 3rd treatments and 1 month after treatment, and the score was obviously improved (P < 0.05). In the subjective indicators evaluation, the total scores of FSFI, vaginal lubricity, vaginal relaxation, and sexual life satisfaction were all improved after treatment, with statistical differences when compared with the scores before treatment (P < 0.05). But, no notable differences were seen in the scores of sexual desire, sexual arousal and orgasm before and after treatment (P>0.05). At the end of treatment, sound satisfaction was obtained in the satisfaction survey of treatment. Conclusion The new type fractional CO2 laser treatment provides a minimally invasive treatment for vaginal relaxation and can obtain effective improvement in the symptoms. It can be done in the clinic due to its strong feasibility and no needs for anesthesia and analgesia. The patients show good tolerance and compliance.
作者
廖媛
严小丽
王丹
LIAO Yuan;YAN Xiaoli;WANG Dan(Department of Obstetrics and Gynecology,First Affiliated Hospital,Army Medical University(Third Military Medical University),Chongqing,400038,China)
出处
《第三军医大学学报》
CAS
CSCD
北大核心
2020年第13期1345-1349,共5页
Journal of Third Military Medical University
基金
陆军军医大学第一附属医院院管课题(SWH2016JSTSYB-33)。
关键词
阴道松弛症
二氧化碳点阵激光
阴道健康指数
女性性功能量表
postpartum vaginal relaxation
new fractional CO2 laser
vaginal health index
Female Sexual Function Scale
