Clinical observation on different surgical methods in treatment of congenital genital tract malformation syndrome
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Clinical observation on different surgical methods in treatment of congenital genital tract malformation syndrome
nullIssue 7, Pages: 538(2019)
作者机构:
1. 湖北省襄阳市中心医院(湖北文理学院附属医院)妇产科,湖北,襄阳,441021
2. 湖北省襄阳市中心医院(湖北文理学院附属医院)手术室,湖北,襄阳,441021
3. 湖北省襄阳市中心医院(湖北文理学院附属医院)超声科,湖北,襄阳,441021
4. 武汉大学健康学院,湖北,武汉,430071
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Published:2019,
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ZHANG Huijun, SHEN Zhijuan, ZHOU Jinting, et al. Clinical observation on different surgical methods in treatment of congenital genital tract malformation syndrome. [J]. null (7):538(2019)
DOI:
ZHANG Huijun, SHEN Zhijuan, ZHOU Jinting, et al. Clinical observation on different surgical methods in treatment of congenital genital tract malformation syndrome. [J]. null (7):538(2019)DOI:
Clinical observation on different surgical methods in treatment of congenital genital tract malformation syndrome
Objective To compare the clinical effect of Vecchietti vaginoplasty and laparoscopic peritoneum vaginoplasty on congenital genital tract malformation syndrome. Methods A total of 52 patients with congenital genital tract malformation from January 2015 to January 2018 in our hospital were selected
who were randomly divided into control group and observation group
26 cases in each group.Patients in the observation group were treated with Vecchietti vaginoplasty;patients in the control group received laparoscopic peritoneum vaginoplasty.The operation time
bleeding volume and anal exhaust time
recovery time of body temperature
hospital stays
sexual life status
average vaginal length and depth as well as postoperative complication rate between two groups were compared. Results The intraoperative bleeding volume
operation time
anal exhaust time and recovery time of body temperature of the observation group were less than those of control group
with statistically significant difference between two groups(P<0.05).The hospitalization time between two groups showed no statistically significant difference(P>0.05).There was no statistically significant difference in scores of sexual desire
sexual arousal
orgasm
vaginal lubrication and dyspareunia between two groups(P>0.05).The sexual satisfaction and overall scores in the observation group were lower than those in the control group
the difference was significant(P<0.05).After 1 to 3 days of surgery
the vaginal length of the observation group was shorter than that of the control group(P<0.05).After 6 months of surgery
the vaginal depth between two groups showed no statistically significant difference(P>0.05).There was no statistically significant difference in postoperative complication rate between two groups(P>0.05). Conclusion Both of Vecchietti vaginoplasty and Davydov vaginoplasty have its own advantages in treatment of congenital genital tract malformation.Vecchietti vaginoplasty can reduce the clinical trauma and promote the recovery
while Davydov vaginoplasty can improve the sexual life quality and recover the vaginal length.Therefore
the proper surgical mode can be selected according to the patient′s actual conditions.
关键词
前庭黏膜提拉式阴道成形术腹膜代阴道成形术阴道成形术先天性生殖道畸形综合征性生活
Keywords
Vecchietti vaginoplastyDavydov vaginoplastyvaginoplastycongenital genital tract malformation syndromesexual life