阴道松弛症诊断与治疗专家共识(2020年版)

2020-10-22 中国实用妇科与产科杂志.2020.36(10):965-967.

阴道松弛症是女性产后的常见问题,多因胎儿通过产道,扩展局部的黏膜、筋膜和肌肉组织,造成阴道壁、肛提肌以及尿生殖隔相关结构的松弛所致,严重者会引起性生活质量的下降和性感受的减退。另外,松弛程度还与患者性

中文标题:

阴道松弛症诊断与治疗专家共识(2020年版)

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发布日期:

2020-10-22

简要介绍:

阴道松弛症是女性产后的常见问题,多因胎儿通过产道,扩展局部的黏膜、筋膜和肌肉组织,造成阴道壁、肛提肌以及尿生殖隔相关结构的松弛所致,严重者会引起性生活质量的下降和性感受的减退。另外,松弛程度还与患者性生活的频度、方式、年龄以及外伤等因素有关。阴道松弛主要表现为性生活满意度下降,常伴有轻度的压力性尿失禁、轻度阴道的脱垂、阴道内炎症的增加、阴道前庭的外形改变等问题,可明显影响女性性感受和自信心。由于文化及教育的影响,尽管阴道松弛症的发病率很高,但由此而就诊的患者并不多,在我国患者中,很多是出现了感情危机才考虑就医。由于阴道松弛主要是指患者在性生活中的感受异常,诊断时除了部分经验性的客观指征外,以患者的性满意度及其问卷量表做为主要指征。其最有效的治疗方法为阴道紧缩术,患者术后满意度较高;辅助性的治疗方法包括激光、射频、局部注射等微创治疗,以及盆底肌肉训炼。

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    2022-03-16 胡国宏
  2. [GetPortalCommentsPageByObjectIdResponse(id=1202998, encodeId=81e4120299878, content=<a href='/topic/show?id=23e3454e353' target=_blank style='color:#2F92EE;'>#学习#</a>, beContent=null, objectType=guider, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=45473, encryptionId=23e3454e353, topicName=学习)], attachment=null, authenticateStatus=null, createdAvatar=http://thirdqq.qlogo.cn/qqapp/1103841572/949453D13700D5D5E2170BDB0CBBEB81/100, createdBy=66e32451407, createdName=胡国宏, createdTime=Wed Mar 16 07:46:33 CST 2022, time=2022-03-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=972177, encodeId=70d89e2177d7, content=学习了, beContent=null, objectType=guider, channel=null, level=null, likeNumber=57, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210622/599e2cb25cff4e22a013b5e34ffcf417/05cab7c58ca74ed6872033e1d5271e95.jpg, createdBy=ca635504024, createdName=ms1000001867495411, createdTime=Wed Jun 09 16:30:04 CST 2021, time=2021-06-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=968468, encodeId=2470968468ad, content=学习了, beContent=null, objectType=guider, channel=null, level=null, likeNumber=58, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=dc335507693, createdName=zspp_001, createdTime=Tue May 25 21:34:30 CST 2021, time=2021-05-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=949088, encodeId=35db9490882d, content=学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=66, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=71915470271, createdName=手心手背2021, createdTime=Wed Mar 17 21:35:20 CST 2021, time=2021-03-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=954513, encodeId=98d8954513a5, content=受益匪浅!好文章。, beContent=null, objectType=guider, channel=null, level=null, likeNumber=59, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=6c905475903, createdName=湘雅科教, createdTime=Wed Apr 07 13:13:21 CST 2021, time=2021-04-07, status=1, ipAttribution=)]
    2021-06-09 ms1000001867495411

    学习了

    0

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    2021-05-25 zspp_001

    学习了

    0

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    2021-03-17 手心手背2021

    学习

    0

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    2021-04-07 湘雅科教

    受益匪浅!好文章。

    0