阴道松弛综合征的治疗现状

Review of Treatment of the Vaginal Laxity Syndrome

针对阴道松弛的阴道紧缩治疗手段尚未完全成熟,阴道口以及阴道壁松弛是各种因素使阴道壁及其周围结缔组织以及盆底肌改后产生的结果,影响了女性群体性活动的满意程度。阴道松弛发病率高治疗率低。整形外科手术治疗、射频治疗、激光治疗及盆底肌康复治疗是现阶段常用的治疗方法。其中经多中心随机对照研究证实了安全性和有效性的射频治疗快速发展成为了现今比较有应用前景的治疗方法,保留阴道黏膜的阴道紧缩术在整形外科中应用广泛。本文就阴道松弛综合征以解剖组织学、发病机制、诊断为基础对各种治疗方法的优劣进行探讨,为临床工作及相关研究提参考。

The vaginal tightness therapy for vaginal laxity syndrome has not been fully mature yet. Various factors that lead to changes in the connective tissue around the vagina and pelvic foor muscles, and result in relaxation of the vaginal orifce and/or vaginal wall, which affect women＇s sexual satisfaction. There is a high incidence and a low rate of treatment for vaginal laxity syndrome. The Current treatments include plastic surgical intervention, radiofrequency therapy, laser therapy and pelvic floor muscle rehabilitation, and tissue engineering. Multicenter randomized controlled trials have confirmed the safety and effectiveness of radiofrequency therapy which has a rapid development and an extensive clinical prospect. Which is used widely in plastic surgery feld is vaginalmucosa reserved vaginal tightening plasty. This article discusses the advantages and disadvantages of various treatment methods for vaginal relaxation built on anatomical histology, pathogenesis and diagnosis, aiming at providing reference for clinical work and related research.