| 王晓琼,栗浩然,田晓娜,等.保留黏膜的阴道紧缩术(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,2026,30(8):1561-1566. |
| 保留黏膜的阴道紧缩术(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 |
| Comparison of the effects 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 |
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| DOI：10.3969/j.issn.1009-6469.2026.08.015 |
| 中文关键词: 阴道紧缩术 阴道松弛 阴道脱垂 阴道前后壁修补术 治疗效果 |
| 英文关键词: Vaginal tightening surgery Vaginal relaxation Vaginal prolapse Vaginal anterior and posterior wall repair sur-gery Therapeutic effect |
| 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: |
| 目的分析保留黏膜的阴道紧缩术(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。方法前瞻性选取 2020年 9月至 2022年 5月郑州大学附属郑州中心医院收治的 94例中重度阴道松弛病人为研究对象，采用随机数字表法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，研究组给予保留黏膜的阴道紧缩术(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术前( 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术前(P<0.05)且研究组术后 6个月的阴道松弛正常，、0度阴道脱垂占比分别为 48.84%(21/43)、 51.16%(22/43)均高于对照组 |
| 英文摘要: |
| Objective To analyze the effect of mucosal-preserving vaginal tightening (three-layer nine-needle method) and vaginal an-terior and posterior wall repair surgery in the treatment of moderate to severe vaginal relaxation.Methods Prospective selection of 94patients with moderate to severe vaginal laxity admitted to Zhengzhou Central Hospital Affiliated to Zhengzhou University from Septem-ber 2020 to May 2022 were selected as the research subjects. They were randomly divided into a study group and a control group usinga random number table method, with 47 patients in each group. The control group was treated with vaginal anterior and posterior wallrepair surgery, while the study group was treated with mucosal-preserving vaginal tightening (three-layer nine-needle method). The vagi-nal 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 thetwo groups.Results During the follow-up period, 6 cases were excluded from the control group and 4 cases were excluded from thestudy group. The proportion of normal vaginal relaxation, mild vaginal relaxation, grade 0 vaginal prolapse, and grade I vaginal prolapsein both groups at 6 months and 12 months after surgery were higher than before surgery (P < 0.05), while the proportion of moderatevaginal relaxation, severe vaginal relaxation, grade Ⅱ vaginal prolapse, and grade Ⅲ vaginal prolapse were lower than before surgery (P < 0.05). The proportions of normal vaginal relaxation and 0 degree vaginal prolapse in the study group at 6 months after operationwere 48.84% (21/43) and 51.16% (22/43), respectively, which were higher than those in the control group [26.83% (11/41) and 29.27%(12/41)] (P < 0.05). The proportions of normal vaginal relaxation and 0 degree vaginal prolapse in the study group at 12 months after op-eration were 39.53% (17/43) and 46.51% (20/43), respectively, which were higher than those in the control group [19.51% (8/41) and24.39% (10/41)] (P<0.05). There were statistically significant differences in female sexual function index (FSFI) scores and sexual lifesatisfaction scores by repeated measures analysis of variance (P<0.05). The FSFI scores and sexual life satisfaction scores of the twogroups at 6 and 12 months after surgery were higher than those before surgery (P<0.05), and the FSFI scores and sexual life satisfactionscores 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 andsexual 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).Further calculation of Cohen's d value showed that there was a very small effect size in the preoperative FSFI score and sexual life satis-faction score of the two groups (d<0.2). The FSFI score at 6 months and 12 months after surgery and the sexual life satisfaction score at6 months after surgery had a medium effect size (0.5≤d≤0.8). The sexual life satisfaction score at 12 months after surgery had a large ef-fect size (d>0.8). Two groups of patients were healed well, and there were no postoperative complications reported. The postoperative re-currence rate in the study group was 11.63%, which was lower than the 31.71% in 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) canimprove the degree of vaginal relaxation and prolapse, enhance sexual function, improve sexual satisfaction, and have a lower postopera-tive recurrence rate and good safety in the treatment of moderate to severe vaginal relaxation. |
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