摘要
目的:探讨改良阴道紧缩术加提肛锻炼治疗重度阴道松弛的临床疗效。方法:对2012年6月到2013年1月以来,我院82例阴道松弛,需对阴道紧缩手术的患者进行改良的阴道紧缩术治疗。手术切实有效的对松弛的阴道前壁和后壁进行修复,并同时对会阴裂伤进行修复,在修复中,对于合并张力性尿失禁的患者,修复前壁是在尿道终端加强缝合肌肉筋膜一针;而针对合并便秘患者,在后壁修复是加强缝合提肌三针,在修复时须最大限度的保护阴道粘膜,术后加之以提肛锻炼,观察其临床疗效。结果:在对患者的术后随访中,患者性生活满意度、张力性尿失禁、便秘以及阴道排气和术前相比皆得到显著提高改善,差异均有统计学意义(P<0.01)。结论:改良阴道紧缩术加提肛锻炼对重度阴道松弛的治疗,方法安全可靠,值得临床推广。
Objective:To investigate the clinical effect of modified vaginal tightening surgery and levator ani exercise for the treatment of severe vaginal relaxation. Methods:82 cases of vaginal relaxation from June,2012 to January,2013 had vaginal tightening operation with vaginal tightening surgery. The effective operation solved the problem of the relaxation of the anterior vaginal wall and posterior wall repair, and repair of perineal laceration. For patients with stress urinary incontinence,the repair method was to strengthen the muscle fascia urethral terminal suture needle; and for patients with constipation,on the rear wall was reinforced with suture repair. Muscle three needle was used to protect the vaginal mucosa maximum during repair. In postoperative period,the levator ani exercise was combined to observe its clinical effect. Results:In the follow-up of patients with postoperative patient satisfaction,sexual life,stress urinary incontinence,constipation and vaginal discharge were significantly improved compared with the preoperative satisfaction degree. The differences were statistically significant (P<0.01). Conclusion:The modified vaginal tightening surgery plus outline exercise for the treatment of severe vaginal relaxation is safe and reliable, and worthy of clinical application.
出处
《中国医疗美容》
2014年第1期13-14,共2页
China Medical Cosmetology
关键词
改良阴道紧缩术
提肛锻炼
重度阴道松弛
Improved vaginal tightening surgery
Levator ani exercise
Severe vaginal relaxation
