摘要
目的探讨改良全程阴道紧缩术治疗中重度阴道松弛(VLS)患者的治疗疗效。方法选取2020年1月至2022年12月于郑州大学第三附属医院医疗美容科收治并成功随访的53例中重度VLS并实施改良全程阴道紧缩术的患者。比较患者手术相关指标、临床疗效和性功能改善情况。结果2例(3.77%)患者术后出现短暂的尿潴留,予以电刺激治疗后排尿顺畅,未再留置尿管;1例(1.89%)患者术后出现会阴切口少量渗血,压迫止血后好转;其余患者围手术期均无并发症发生。53例患者切口均为Ⅱ/甲级愈合,无血肿、感染及瘢痕增生等并发症。51例(96.23%)患者对外阴形态及阴道紧致程度满意;1例(1.89%)患者术后1个月有性生活史,术后2个月随访,阴道容2指松,对阴道紧致程度不满意;1例(1.89%)患者术后2个月阴道口黏膜稍有堆积,对外阴形态不满意;1例患者术后2个月出现性交痛,术后6个月自行好转;4例(7.55%)有阴道干涩的患者症状较术前有所缓解。7例(13.21%)有反复阴道瘙痒、分泌物增多等的患者症状较术前有明显改善;8例(15.09%)有性交疼痛的患者症状较术前明显改善。53例中重度VLS患者阴道动态压力值和FSFI-6评分在术后2个月、6个月和12个月与手术前比较时均显著改善,差异具有统计学意义(P<0.05),且术后2个月、6个月及12个月阴道动态压力值前后对比,差异无统计学意义(P>0.05)。结论改良全阴道紧缩术不仅关注了阴道的功能和外阴的形态,还考虑到了加强盆底的支持作用,符合VLS整体诊治和盆底整体功能恢复的需求,具有操作安全,并发症少的优势,并且可以增加性快感的优势,临床应用效果令人满意。
Objective To investigate the therapeutic efficacy of modified total vaginal tightening surgery in the treatment of severe vaginal laxity(VLS)patients.Methods Fifty-three patients with moderate to severe VLS who underwent modified total vaginal tightening surgery and are successfully followed up at the Department of Medical Cosmetology,Third Affiliated Hospital of Zhengzhou University,from January2020 to December 2022 are selected.Surgical-related indicators,clinical efficacy,and improvements in sexual function are compared.Result Two patients(3.77%)experienced transient urinary retention after surgery,which is relieved by electrical stimulation without the need for catheterization.One patient(1.89%)had minor bleeding at the perineal incision site,which improved after compression.No other complications occurred during the perioperative period.Al153 patients had gradeⅡ/grade A wound healing without complications such as hematoma,infection,or scar hyperplasia.Fifty-one patients(96.23%)are satisfied with the external genitalia appearance and vaginal tightness.One patient(1.89%)reported dissatisfaction with vaginal tightness at the 2-month follow-up,with a vaginal capacity of 2 fingers.One patient(1.89%)expressed dissatisfaction with the extemnal genitalia appearance due to slight accumulation of vaginal mucosa at the 2-month follow-up.One patient experienced dyspareunia after surgery,which resolved spontaneously after 6 months.Four patients(7.55%)with vaginal dryness experienced symptom relief compared to preoperative status.Seven patients(13.21%)with symptoms of recurrent vaginal itching and increased vaginal discharge showed significant improvement compared to preoperative status.Eight patients with dyspareunia showed significant improvement in symptoms compared to preoperative status.The dynamic vaginal pressure values and FSFI-6 scores of the 53 patients with severeVLS showed significant improvement at 2,6,and 12 months postoperatively compared to preoperative values(P<0.05).There is no statistically significant difference in dynamic vaginal pressure values between 2,6,and 12 months postoperatively(P>0.05).Conclusion Modified total vaginal tightening surgery not only focuses on vaginal function and external genitalia appearance but also considers enhancing pelvic floor support,which meets the overall diagnosis and treatment needs of VLS and pelvic floor function recovery.It has the advantages of safe operation,fewer complications,and the ability to increase sexual pleasure.The clinical application of this procedure has shown satisfactory.
作者
刘冬霞
于航
薛闪辉
宋易坤
高桂香
李洁
陈飞
董延华
赵红果
王鲁文
LIU Dong-xia;YU Hang;XUE Shan-hui;SONG Yi-kun;GAO Gui-xiang;LI Jie;CHEN Fei;DONG Yan-hua;ZHAO Hong-guo;WANG Lu-wen(Pelvic floor Reconstruction Department,the Third Afliated Hospital of Zhengzhou University,Henan Province,450052,China;Medical Beauty Department,the Third Affiliated Hospital of Zhengzhou University,Henan Province,450052,China)
出处
《中国医疗美容》
2024年第3期23-27,共5页
China Medical Cosmetology
基金
河南省联合共建项目(LHGJ20190362)。
关键词
阴道紧缩术
阴道黏膜
保留黏膜
阴道松弛症
疗效分析
Vaginal tightening surge
Vaginal mucos
Preserve the mucos
Vaginal laxity syndrome
Curative effect analysis
