CAJ | 학술논문

目的比较埋没导引针缝合法和阴道后壁黏膜切除法两种阴道紧缩术治疗轻度、中度阴道松弛的临床效果.方法将符合标准的71例轻度、中度阴道松弛者完全随机分为观察组(39例)和对照组(32例).观察组行埋没导引针缝合法,对照组行阴道后壁黏膜切除法.分析观察两组手术时间、术中出血量、阴道分泌物颜色、术后伤口愈合情况及并发症,于术后6、12、24个月评价两组受术者的性生活满意度.结果两组在手术时间、阴道分泌物颜色差异无统计学意义(P＞0.05).观察组术中出血量(6.23±2.43)ml少于对照组(15.79±7.31) ml,差异有统计学意义(P＜0.05).随访期间两组的性生活质量满意度差异有统计学意义(P＜0.05).所有受术者均无切口感染及阴道松弛加重等并发症.结论对于轻度、中度阴道松弛者,埋没导引针缝合法阴道紧缩术不损伤阴道黏膜,阴道内不留瘢痕,并发症少,是改善阴道松弛者性生活质量较为简单而有效的方法.
목적 비교매몰도인침봉합법화음도후벽점막절제법량충음도긴축술치료경도、중도음도송이적림상효과.방법 장부합표준적71례경도、중도음도송이자완전수궤분위관찰조(39례)화대조조(32례).관찰조행매몰도인침봉합법,대조조행음도후벽점막절제법.분석관찰량조수술시간、술중출혈량、음도분비물안색、술후상구유합정황급병발증,우술후6、12、24개월평개량조수술자적성생활만의도.결과 량조재수술시간、음도분비물안색차이무통계학의의(P＞0.05).관찰조술중출혈량(6.23±2.43)ml소우대조조(15.79±7.31) ml,차이유통계학의의(P＜0.05).수방기간량조적성생활질량만의도차이유통계학의의(P＜0.05).소유수술자균무절구감염급음도송이가중등병발증.결론 대우경도、중도음도송이자,매몰도인침봉합법음도긴축술불손상음도점막,음도내불류반흔,병발증소,시개선음도송이자성생활질량교위간단이유효적방법.
Objective To compare the clinical effects of needle buried suture and the posterior wall of vagina mucosa excision vaginal tightening surgery for the treatment of mild to moderate vaginal relaxation.Methods A total of 71 patients with mild to moderate vaginal relaxation were randomly divided into observation group (39 cases) and control group (32 cases).The patients in the observation group were given buried lead needle suture,and the control group were treated with posterior wall of vagina mucosa resection.Analysis of two groups was conducted in patients with operation time,intraoperative bleeding,vaginal secretion color,postoperative wound healing and complications;sexual satisfaction was evaluated after 6,12 and 24 months in two groups of patients.Results There was no significant difference between two groups in operation time and vaginal secretion color (P＞ 0.05).Intraoperative blood loss was much more in the observation group than those in the control group,with statistically significant differences between the two groups [(6.23±2.43) ml vs (15.79 ± 7.31) ml,P＜0.05)].The follow-up for a number of months showed that sexual satisfaction had significant difference between the two groups (P＜0.05).None of the patients had rectal or urethral injury,no fistula,incision infection or other complications occurred,and the incision healed in stage Ⅰ.Conclusions For patients with mild to moderate vaginal relaxation,buried lead needle suture vaginal tightening surgery does not damage the vaginal mucosa,no scar,and fewer complications,which is a more simple and effective method to improve the quality of life in patients with vaginal relaxation.