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目的:探讨改良阴道黏膜瓣法与分层缝合法治疗陈旧性Ⅲ度会阴裂伤的临床效果。方法:选取2007年1月~2012年1月间我院妇产科收治的31例陈旧性Ⅲ度会阴裂伤患者为研究对象,随机分为观察组和对照组。对照组采取分层缝合法,观察组实施阴道黏膜瓣法。比较2组治疗效果及临床症状缓解情况。结果:观察组治愈率(93.75%)、下腹坠胀缓解率(87.7%)、性生活满意度(87.5%)明显高于对照组(P<0.05)。结论:采用改良阴道黏膜瓣法治疗陈旧性Ⅲ度会阴裂伤,可有效减轻患者临床症状,提高生活质量,有积极临床应用价值。
Objective: To explore the clinical effects of modified vaginal mucosa flap method and stratified suture method in the treatment of old Ⅲ degree perineal laceration. Methods: From January 2007 to January 2012 in our hospital obstetrics and gynecology admitted 31 cases of old patients with Ⅲ degree perineal laceration as the research object, were randomly divided into observation group and control group. Control group stratified suture method, observation group implementation of vaginal mucosal flap method. The treatment effect and clinical symptom relief were compared between the two groups. Results: The cure rate of the observation group (93.75%), the relief rate of bulging in the lower abdomen (87.7%) and the sexual life satisfaction (87.5%) were significantly higher than those in the control group (P <0.05). Conclusion: The improved vaginal mucosal flap method for the treatment of old Ⅲ degree perineal laceration, which can effectively reduce the clinical symptoms and improve the quality of life, has a positive clinical value.