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不同手术方式治疗先天性生殖道畸形综合征的临床观察
Clinical observation on different surgical methods in treatment of congenital genital tract malformation syndrome
- 局解手术学杂志 2019年第7期 页码：538
- 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
- 作者简介：
- 基金信息：湖北优秀医学学术带头人计划和湖北省卫生计生科研项目（WJ2015MA024）;湖北省自然科学基金（2017CFB335）;湖北省卫生计生委面上项目（WJ2017M007 ）
DOI：
中图分类号：纸质出版日期：2019，
扫 描 看 全 文
张慧君, 沈志娟, 周金婷, 等. 不同手术方式治疗先天性生殖道畸形综合征的临床观察[J]. 局解手术学杂志, 2019,(7):538.
ZHANG Huijun, SHEN Zhijuan, ZHOU Jinting, et al. Clinical observation on different surgical methods in treatment of congenital genital tract malformation syndrome[J]. null, 2019,(7):538.
摘要
目的 探讨前庭黏膜提拉式阴道成形术与腹膜代阴道成形术治疗先天性生殖道畸形综合征的临床效果。 方法选取我院2015年1月至2018年1月收治的52例先天性生殖道畸形患者作为研究对象，采用随机配对设计与患者个人意愿将其分为对照组与观察组，每组26例。观察组采用前庭黏膜提拉式阴道成形术，对照组则采用腹膜代阴道成形术；对比2组患者的手术时间、术中出血量、肛门排气时间、体温恢复时间、住院时间、性生活状况、阴道平均长度与深度以及术后并发症发生率。结果 观察组患者术中出血量、手术时间、肛门排气时间及体温恢复时间均少于对照组，差异有统计学意义（P＜0.05）；2组患者术后住院时间差异无统计学意义（P＞0.05）；治疗后2组患者性生活量表中性欲、性兴奋、性高潮、阴道润滑、性交痛等项目评分差异无统计学意义（P＞0.05）；但观察组在性关系满意度评分以及总分上低于对照组，差异有统计学意义（P＜0.05）；观察组术后1~3 d阴道长度明显短于对照组（P＜0.05），术后6个月2组患者阴道深度对比差异无统计学意义（P＞0.05）；2组患者术后并发症发生率对比差异无统计学意义（P>0.05）。 结论 前庭黏膜提拉式阴道成形术与腹膜代阴道成形术在治疗先天性生殖道畸形综合征中各有优势，前者创伤小、术后恢复快，而后者性生活质量更高，阴道长度有效恢复，建议临床根据患者的实际情况合理选择术式。
Abstract
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
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