| 王晓琼.保留粘膜的阴道紧缩术（三层九针法）与阴道前后壁修补术治疗中重度阴道松弛的效果比较[J].安徽医药,待发表. |
| 保留粘膜的阴道紧缩术（三层九针法）与阴道前后壁修补术治疗中重度阴道松弛的效果比较 |
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| 投稿时间：2025-02-14 录用日期：2025-05-09 |
| DOI： |
| 中文关键词: 阴道松弛 保留粘膜的阴道紧缩术（三层九针法） 阴道前后壁修补术 治疗效果 |
| 英文关键词: |
| 基金项目:河南省医学科技攻关联合共建项目：LHGJ20210768 |
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| 中文摘要: |
| 【】目的:分析保留粘膜的阴道紧缩术(三层九针法)与阴道前后壁修补术治疗中重度阴道松弛的效果。方法:本院2021年9月至2023年5月共收治的中重度阴道松弛患者94例,随机分为研究组和对照组,各47例,对照组给予阴道前后壁修补术治疗,研究组给予保留粘膜的阴道紧缩术(三层九针法)治疗。比较两组术前、术后6个月、术后12个月的阴道松紧度、阴道脱垂程度、性功能、性生活满意度,对比两组术后并发症及复发率。结果:随访期间,对照组剔除6例,研究组剔除4例。两组术后6个月、术后12个月的正常阴道松弛、轻度阴道松弛、0度阴道脱垂、Ⅰ度阴道脱垂占比均高于治疗前(P＜0.05),中度阴道松弛、重度阴道松弛、Ⅱ度阴道脱垂、Ⅲ度阴道脱垂的占比均低于治疗前(P＜0.05),且研究组术后6个月、术后12个月的正常阴道松弛、0度阴道脱垂占比均低于对照组(P＜0.05)。女性性生活指数评估量表(FSFI)评分、性生活满意度评分经重复测量方差分析差异均有统计学意义(P＜0.05),两组术后6个月、术后12个月的FSFI评分、性生活满意度评分均高于术前(P＜0.05),两组术后12个月的FSFI评分、性生活满意度评分均高于术后6个月(P＜0.05),且研究组术后6个月、术后12个月的FSFI评分、性生活满意度评分均高于对照组(P＜0.05)。两组患者均为愈合良好,术后均未出现并发症。研究组术后复发率低于对照组(P＜0.05)。结论:保留粘膜的阴道紧缩术(三层九针法)与阴道前后壁修补术治疗中重度阴道损伤相比,能够改善阴道松弛程度及脱垂程度,提高性功能,提升性生活满意度,且术后复发率更低,安全性良好。 |
| 英文摘要: |
| Objective: To analyze the effect of mucosal-preserving vaginal tightening (three-layer nine-needle method) and vaginal anterior and posterior wall repair surgery in the treatment of moderate to severe vaginal relaxation. Method: A total of 94 patients with moderate to severe vaginal laxity admitted to our hospital from September 2021 to May 2023 were randomly divided into study group and control group, with 47 cases in each group. The control group was treated with vaginal anterior and posterior wall repair surgery, while the study group was treated with mucosal-preserving vaginal tightening (three-layer nine-needle method). The vaginal tightness, degree of vaginal prolapse, sexual function and sexual satisfaction were compared between the two groups before surgery, 6 months after surgery and 12 months after surgery. The postoperative complications and recurrence rates were compared between the two groups. Result: During the follow-up period, 6 cases were excluded from the control group and 4 cases were excluded from the study group. The proportion of normal vaginal relaxation, mild vaginal relaxation, grade 0 vaginal prolapse, and grade I vaginal prolapse in both groups at 6 months and 12 months after surgery were higher than before treatment (P < 0.05), while the proportion of moderate vaginal relaxation, severe vaginal relaxation, grade II vaginal prolapse, and grade III vaginal prolapse were lower than before treatment (P < 0.05), and the proportion of normal vaginal relaxation and grade 0 vaginal prolapse in the study group at 6 months and 12 months after surgery were lower than those in the control group (P < 0.05). There were statistically significant differences in female sexual function index (FSFI) scores and sexual life satisfaction scores by repeated measures analysis of variance (P < 0.05). The FSFI scores and sexual life satisfaction scores of the two groups at 6 and 12 months after surgery were higher than those before surgery (P < 0.05), and the FSFI scores and sexual life satisfaction scores of the two groups at 12 months after surgery were higher than those at 6 months after surgery (P < 0.05), and the FSFI scores and sexual life satisfaction scores of the study group at 6 and 12 months after surgery were higher than those of the control group (P < 0.05). Two groups of patients were healed well, and there were no postoperative complications occurred. The postoperative recurrence rate of the study group was lower than that of the control group (P < 0.05). Conclusion: Compared with vaginal anterior and posterior wall repair surgery, the mucosal-preserving vaginal tightening (three-layer nine-needle method) can improve the degree of vaginal relaxation and prolapse, enhance sexual function, improve sexual satisfaction, and have a lower postoperative recurrence rate and good safety in the treatment of moderate to severe vaginal relaxation. |
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