改良式腹腔镜下腹膜代阴道成形术临床分析
发布时间：2018-10-29 19:41
【摘要】：目的：报道腹膜代阴道成形术的改良术式并分析其优势；通过回顾性分析评价该项改良术式的效果,得出术后放置阴道模具和规律性生活的最佳时间,从而为MRKH患者的手术治疗提供可靠、安全的方法。材料和方法：调查2006-2013年间22例在我院接受腹膜代阴道成形术患者的手术时间、出血量、术中阴道长度、术后平均住院日以及FSFI量表得分情况对该项术式进行评价。经电话回访,16位患者完成了FSFI量表。对照组为32名根据年龄按照例数2：1匹配的已婚健康女性。采用Microsoft Excel输入数据,所有资料采用SPSS 19.0进行处理。统计方法采用描述性统计分析、配对样本t检验及回归分析,计算决定系数R2,所有均数均表达为平均数±标准差。结果：(1)患者接受手术的平均年龄为23(17-31)岁,手术时间为(93±25.1)min,术中出血量(81.3±44.5)ml,术中阴道长度(10.4±1.4)cm,术后平均住院日为(8.6±1.9)d。(2)22例手术均顺利完成,术后随访16例,回访率为72.8%。FSFI量表的平均得分为25.28±2.61,对照组为25.61±2.79,二者无统计学差异。(3)患者术后放置阴道模具的时间为(12.5±5.6)月,术后开始性生活的时间为(8.0±3.5)月,通过比较决定系数及回归方程分析,得出术后放置阴道模具的最佳时间为6.9月,开始规律性生活的最佳时间为5.6月。结论：改良式腹腔镜下腹膜代阴道成形术是对MRKH患者进行的一种安全、方便的手术方式,患者术后可获得可靠的性生活满意度。
[Abstract]:Objective: to report the modified procedure of vaginoplasty of peritoneum and analyze its advantages. Through retrospective analysis and evaluation of the effect of the modified operation, the best time for placement of vaginal mould and regular life after operation was obtained, thus providing a reliable and safe method for the surgical treatment of patients with MRKH. Materials and methods: the operative time, bleeding volume, length of vagina during operation, average hospitalization days after operation and the score of FSFI scale were investigated in 22 patients undergoing vaginoplasty in our hospital from 2006 to 2013. By telephone interview, 16 patients completed the FSFI scale. The control group consisted of 32 healthy married women who matched at 2:1 according to their age. Microsoft Excel was used to input data and all data were processed by SPSS 19.0. Descriptive statistical analysis, paired sample t-test and regression analysis were used to calculate the determination coefficient R2. All mean values were expressed as mean 卤standard deviation. Results: (1) the mean age of patients undergoing surgery was 23 (17-31) years, and the operative time was (93 卤25.1) min,. The amount of bleeding during operation was (81.3 卤44.5) ml,. The length of vagina was (10.4 卤1.4) cm,. The average postoperative hospitalization days were (8.6 卤1.9) d. (2), 22 cases were successfully completed, 16 cases were followed up, the average score of 72.8%.FSFI scale was 25.28 卤2.61, and that of the control group was 25.61 卤2.79, while that of the control group was 25.61 卤2.79. There was no significant difference between the two groups. (3) the time of placement of vaginal mould was (12.5 卤5.6) months, and the time of starting sexual life was (8.0 卤3.5) months. The optimal time for placement of vaginal mould was 6.9 months and the best time for regular life was 5.6 months. Conclusion: modified laparoscopic retroperitoneal vaginoplasty is a safe and convenient method for MRKH patients.
【学位授予单位】：复旦大学
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：R713.3
本文编号：2298622
[Abstract]:Objective: to report the modified procedure of vaginoplasty of peritoneum and analyze its advantages. Through retrospective analysis and evaluation of the effect of the modified operation, the best time for placement of vaginal mould and regular life after operation was obtained, thus providing a reliable and safe method for the surgical treatment of patients with MRKH. Materials and methods: the operative time, bleeding volume, length of vagina during operation, average hospitalization days after operation and the score of FSFI scale were investigated in 22 patients undergoing vaginoplasty in our hospital from 2006 to 2013. By telephone interview, 16 patients completed the FSFI scale. The control group consisted of 32 healthy married women who matched at 2:1 according to their age. Microsoft Excel was used to input data and all data were processed by SPSS 19.0. Descriptive statistical analysis, paired sample t-test and regression analysis were used to calculate the determination coefficient R2. All mean values were expressed as mean 卤standard deviation. Results: (1) the mean age of patients undergoing surgery was 23 (17-31) years, and the operative time was (93 卤25.1) min,. The amount of bleeding during operation was (81.3 卤44.5) ml,. The length of vagina was (10.4 卤1.4) cm,. The average postoperative hospitalization days were (8.6 卤1.9) d. (2), 22 cases were successfully completed, 16 cases were followed up, the average score of 72.8%.FSFI scale was 25.28 卤2.61, and that of the control group was 25.61 卤2.79, while that of the control group was 25.61 卤2.79. There was no significant difference between the two groups. (3) the time of placement of vaginal mould was (12.5 卤5.6) months, and the time of starting sexual life was (8.0 卤3.5) months. The optimal time for placement of vaginal mould was 6.9 months and the best time for regular life was 5.6 months. Conclusion: modified laparoscopic retroperitoneal vaginoplasty is a safe and convenient method for MRKH patients.
【学位授予单位】：复旦大学
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：R713.3
【共引文献】
相关博士学位论文 前1条
1 曹忠;立木材积无损精测与建模方法研究[D];北京林业大学;2015年
，本文编号：2298622
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