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目的探讨会阴体修复联合阴道黏膜皱褶缝合阴道紧缩术治疗阴道松弛的效果和并发症。方法自2013年5月至2014年4月,应用会阴体修复联合阴道黏膜皱褶缝合法治疗阴道松弛94例,回顾性分析其临床资料。结果 94例患者中,92例一期愈合;2例阴道口处切口裂开,经换药、二期缝合,3周后延期愈合。外阴形态改善,均无术后出血、血肿、感染和阴道黏膜脱垂。随访67例,随访时间为术后6~15个月,除1例术后12个月感觉紧缩效果不满意要求再次手术外,其余均满意。结论会阴体修复联合阴道黏膜皱褶缝合阴道紧缩术效果良好,可有效预防术后血肿和阴道黏膜脱垂。
Objective To investigate the effect and complications of perineal body repair combined with vaginal mucosal folds and sutures vaginal tightening treatment of vaginal relaxation. Methods From May 2013 to April 2014, 94 cases of vaginal relaxation were treated with perineal body repair combined with vaginal mucosa folds and suture, and the clinical data were retrospectively analyzed. Results Of the 94 patients, 92 cases were healed at first stage. In 2 cases, incision was opened at the vaginal mouth. After dressing change and second suture, healed after 3 weeks. Vulva morphology improved, no postoperative bleeding, hematoma, infection and vaginal mucosal prolapse. Follow-up of 67 cases, follow-up time of 6 to 15 months after operation, except for a case of 12 months after the feeling of tightening effect is not satisfied with the re-operation, the rest are satisfied. Conclusions Perineal repair combined with vaginal mucosal folds and sutures vaginal tightening effect is good, which can effectively prevent postoperative hematoma and vaginal mucosal prolapse.