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目的:探讨阴道前后壁修补术对女性阴道松弛治疗的疗效和可行性。方法:收集2010—2013年使用阴道前后壁修补治疗阴道松弛的65例患者临床资料,并进行6个月—1年的随访,回顾性分析阴道前后修补术的方法、手术时间及疗效等指标。结果:平均年龄58岁,<40岁5人,40-50岁10人,>50岁为50人,手术平均时间65.48±5.25分钟,术中出血为45.26±5.63ml,未发生膀胱损伤、尿道损伤及直肠损伤等手术并发症。术后6个月复查阴道壁愈合良好,除2例70余岁患者外其他63例患者随访1年无阴道松弛复发。提高性生活质量6例,压力性尿失禁或便秘治愈58例,改善5例,总有效率96.8%,收到了良好的效果。结论:阴道前后壁修补术治疗阴道松弛合并压力性尿失禁、便秘具有手术效果好,创伤小,术式安全有效,不但能提高患者的生活质量及性生活质量,并可治疗因阴道前后壁松弛引起的反复发作的泌尿生殖道感染性疾病。
Objective: To investigate the efficacy and feasibility of vaginal anterior and posterior wall repair for vaginal relaxation in women. Methods: The clinical data of 65 patients with vaginal relaxation treated by anterior vaginal wall repair from 2010 to 2013 were collected and followed up for 6 months to 1 year. Retrospective analysis of methods of vaginal and postoperative repair, operation time and curative effect were performed. Results: The average age was 58 years old, <40 years old 5, 40-50 years old 10,> 50 years old 50 people, the average operation time was 65.48 ± 5.25 minutes, intraoperative bleeding was 45.26 ± 5.63ml, no bladder injury, urethra Injury and rectal injury and other surgical complications. Vaginal wall healing was good at 6 months after operation. Except for 2 patients over 70 years of age, 63 patients were followed up for 1 year without vaginal relaxation. 6 cases of improving quality of life, 58 cases of stress urinary incontinence or constipation to cure, to improve in 5 cases, the total efficiency of 96.8%, received good results. Conclusions: Vaginal anteroposterior and posterior wall repair for vaginal relaxation combined with stress urinary incontinence, constipation with good surgical results, less trauma, surgical safe and effective, not only can improve patients’ quality of life and quality of life, and can be treated by vaginal anterior and posterior wall relaxation Repeated episodes of genitourinary tract infections.