The majority of women will experience some or most of the menopause symptoms in their life. Thais time in women’s life is associated with a reduction in estrogen levels which leads to physiological changes that affec...The majority of women will experience some or most of the menopause symptoms in their life. Thais time in women’s life is associated with a reduction in estrogen levels which leads to physiological changes that affect different organ systems. In the urogenital tract, these changes usually cause vulvar and vaginal atrophy, affecting a vaginal health of women and decreasing their quality of life. Also, there is a reduction in vaginal moisture and loss of tissue elasticity. Besides, other organ systems are involved and they can also negatively impact normal vaginal physiology. These evolutional changes frequently lead to bothersome symptoms that can negatively impact a woman’s vaginal health and the quality of life. The role of pelvic floor physiotherapy is to improve the tone and strength of the muscle fibres in order to achieve the increase of motor units, improve muscle elasticity and to increase the muscle mass which will help to alleviate menopause symptoms.展开更多
The most frequent cause of visits to the gynecologist in the western world is vaginal discomfort (vaginitis and vaginosis) whose origin lies in the uncontrolled proliferation of bacteria, such as haemophilus vaginalis...The most frequent cause of visits to the gynecologist in the western world is vaginal discomfort (vaginitis and vaginosis) whose origin lies in the uncontrolled proliferation of bacteria, such as haemophilus vaginalis or Candida-type fungi, normally considered as saprophytes. Such uncontrolled development of saprophytes is caused by some types of aggression against?Doderlein bacilli and/or by a significant decrease in the amount of lactic acid (use of broad-spectrum antibiotics, douches with aggressive products, etc.). Consequently, as the vagina creates a progressively alkalinized and increasingly inadequate environment for the lactobacilli activity, a more favorable environment for the growth of saprophytes is created. The more alkaline the medium becomes, the lower the production of lactic acid. Therefore a vicious circle is created, resulting in the bacillus acidophilus near the lack of metabolism and the disappearance of lactic acid, hydrogen peroxide and bacteriocins. All of the above make it possible for saprophytic bacteria to proliferate and become pathogenic. So far, all vaginitis and vaginosis treatments have solely been focused on attacking the disproportionately developed bacteria but have not addressed the restoration of a vaginal acidic environment, i.e. the environment allowing the proliferation of lactic acid-producing bacillus acidophilus. This explains the high rate of relapse occurring after the treatment of these vaginal profiles. In this paper we propose a new treatment focused on the use of lactic acid to prevent recurrence after a vaginitis or vaginosis treatment.展开更多
目的探索新型点阵式CO2激光治疗产后阴道松弛症的临床疗效及可行性。方法纳入陆军军医大学第一附属医院2016年11月至2018年11月于妇产科产后盆底康复门诊诊断为阴道松弛症患者共120例。使用新型点阵式CO2激光治疗仪阴道内进行治疗,一次...目的探索新型点阵式CO2激光治疗产后阴道松弛症的临床疗效及可行性。方法纳入陆军军医大学第一附属医院2016年11月至2018年11月于妇产科产后盆底康复门诊诊断为阴道松弛症患者共120例。使用新型点阵式CO2激光治疗仪阴道内进行治疗,一次治疗只需10~15 min,每月治疗1次,每一疗程包括4次治疗,对患者治疗前及整个疗程结束后1个月进行客观及主观的指标观察及分析。客观指标包括阴道松弛程度、阴道健康指数(vaginal health index score, VHIS),主观观察指标采用女性性功能指标量表(female sexual function index, FSFI),同时治疗结束时行治疗满意度调查。结果客观疗效评估中,阴道松弛程度明显改善;同时对所有纳入治疗的患者进行阴道健康指数评分,患者首次激光治疗前,第1、2、3次治疗和治疗后1个月妇科客观查体VHIS评分分别是(10.87±2.18)、(15.67±1.87)、(19.13±2.81)、(20.11±1.98)分和(20.34±1.69)分,VHIS评分明显改善(P<0.05)。主观疗效评估中,比较治疗后患者的FSFI总分、阴道润滑度、阴道松弛情况、性生活满意度均提高,差异有统计学意义(P<0.05);性欲评分、性唤起评分及性高潮评分治疗前后差异无统计学意义(P>0.05)。进行新型点阵CO2激光治疗后VHIS评分明显改善(P<0.05)。治疗结束时行治疗满意度调查满意度较高。结论新型点阵CO2激光治疗为阴道松弛症的治疗提供了一种微创性治疗手段,其可行性较强,无需麻醉和镇痛,可于门诊完成,患者的耐受性及依从性均较强,能够有效改善阴道松弛症症状。展开更多
目的:分析改良阴道后壁修补术与点阵二氧化碳激光治疗阴道松弛症的疗效及对女性性功能指数(Female sexual function index,FSFI)评分的影响。方法:2017年7月-2018年5月笔者医院妇科收治的阴道松弛症患者100例,随机分为对照组和观察组,每...目的:分析改良阴道后壁修补术与点阵二氧化碳激光治疗阴道松弛症的疗效及对女性性功能指数(Female sexual function index,FSFI)评分的影响。方法:2017年7月-2018年5月笔者医院妇科收治的阴道松弛症患者100例,随机分为对照组和观察组,每组50例。观察组采用点阵二氧化碳激光治疗;对照组采用改良阴道后壁修补术治疗。比较两组患者治疗后阴道松紧度,治疗前后客观疗效、FSFI评分和阴道健康指数。结果:治疗后,对照组阴道松紧度显著低于观察组,差异有统计学意义(P<0.05)。治疗后,两组Ⅰ类盆底肌肌力分级与纤维强度,Ⅱ类盆底肌肌力分级与纤维强度均显著高于治疗前,且观察组显著高于对照组,差异有统计学意义(P<0.05)。治疗后,两组阴道润滑度、性生活满意度评分均显著高于治疗前,且观察组均显著高于对照组,差异有统计学意义(P<0.05)。治疗后,两组阴道健康指数评分均显著高于治疗前,且观察组高于对照组,差异有统计学意义(P<0.05)。结论:点阵二氧化碳激光治疗阴道松弛症的疗效比改良阴道后壁修补术更好,FSFI评价更优,能显著改善患者性生活,对患者阴道健康具有促进作用。展开更多
文摘The majority of women will experience some or most of the menopause symptoms in their life. Thais time in women’s life is associated with a reduction in estrogen levels which leads to physiological changes that affect different organ systems. In the urogenital tract, these changes usually cause vulvar and vaginal atrophy, affecting a vaginal health of women and decreasing their quality of life. Also, there is a reduction in vaginal moisture and loss of tissue elasticity. Besides, other organ systems are involved and they can also negatively impact normal vaginal physiology. These evolutional changes frequently lead to bothersome symptoms that can negatively impact a woman’s vaginal health and the quality of life. The role of pelvic floor physiotherapy is to improve the tone and strength of the muscle fibres in order to achieve the increase of motor units, improve muscle elasticity and to increase the muscle mass which will help to alleviate menopause symptoms.
文摘The most frequent cause of visits to the gynecologist in the western world is vaginal discomfort (vaginitis and vaginosis) whose origin lies in the uncontrolled proliferation of bacteria, such as haemophilus vaginalis or Candida-type fungi, normally considered as saprophytes. Such uncontrolled development of saprophytes is caused by some types of aggression against?Doderlein bacilli and/or by a significant decrease in the amount of lactic acid (use of broad-spectrum antibiotics, douches with aggressive products, etc.). Consequently, as the vagina creates a progressively alkalinized and increasingly inadequate environment for the lactobacilli activity, a more favorable environment for the growth of saprophytes is created. The more alkaline the medium becomes, the lower the production of lactic acid. Therefore a vicious circle is created, resulting in the bacillus acidophilus near the lack of metabolism and the disappearance of lactic acid, hydrogen peroxide and bacteriocins. All of the above make it possible for saprophytic bacteria to proliferate and become pathogenic. So far, all vaginitis and vaginosis treatments have solely been focused on attacking the disproportionately developed bacteria but have not addressed the restoration of a vaginal acidic environment, i.e. the environment allowing the proliferation of lactic acid-producing bacillus acidophilus. This explains the high rate of relapse occurring after the treatment of these vaginal profiles. In this paper we propose a new treatment focused on the use of lactic acid to prevent recurrence after a vaginitis or vaginosis treatment.
文摘目的探索新型点阵式CO2激光治疗产后阴道松弛症的临床疗效及可行性。方法纳入陆军军医大学第一附属医院2016年11月至2018年11月于妇产科产后盆底康复门诊诊断为阴道松弛症患者共120例。使用新型点阵式CO2激光治疗仪阴道内进行治疗,一次治疗只需10~15 min,每月治疗1次,每一疗程包括4次治疗,对患者治疗前及整个疗程结束后1个月进行客观及主观的指标观察及分析。客观指标包括阴道松弛程度、阴道健康指数(vaginal health index score, VHIS),主观观察指标采用女性性功能指标量表(female sexual function index, FSFI),同时治疗结束时行治疗满意度调查。结果客观疗效评估中,阴道松弛程度明显改善;同时对所有纳入治疗的患者进行阴道健康指数评分,患者首次激光治疗前,第1、2、3次治疗和治疗后1个月妇科客观查体VHIS评分分别是(10.87±2.18)、(15.67±1.87)、(19.13±2.81)、(20.11±1.98)分和(20.34±1.69)分,VHIS评分明显改善(P<0.05)。主观疗效评估中,比较治疗后患者的FSFI总分、阴道润滑度、阴道松弛情况、性生活满意度均提高,差异有统计学意义(P<0.05);性欲评分、性唤起评分及性高潮评分治疗前后差异无统计学意义(P>0.05)。进行新型点阵CO2激光治疗后VHIS评分明显改善(P<0.05)。治疗结束时行治疗满意度调查满意度较高。结论新型点阵CO2激光治疗为阴道松弛症的治疗提供了一种微创性治疗手段,其可行性较强,无需麻醉和镇痛,可于门诊完成,患者的耐受性及依从性均较强,能够有效改善阴道松弛症症状。
文摘目的:分析改良阴道后壁修补术与点阵二氧化碳激光治疗阴道松弛症的疗效及对女性性功能指数(Female sexual function index,FSFI)评分的影响。方法:2017年7月-2018年5月笔者医院妇科收治的阴道松弛症患者100例,随机分为对照组和观察组,每组50例。观察组采用点阵二氧化碳激光治疗;对照组采用改良阴道后壁修补术治疗。比较两组患者治疗后阴道松紧度,治疗前后客观疗效、FSFI评分和阴道健康指数。结果:治疗后,对照组阴道松紧度显著低于观察组,差异有统计学意义(P<0.05)。治疗后,两组Ⅰ类盆底肌肌力分级与纤维强度,Ⅱ类盆底肌肌力分级与纤维强度均显著高于治疗前,且观察组显著高于对照组,差异有统计学意义(P<0.05)。治疗后,两组阴道润滑度、性生活满意度评分均显著高于治疗前,且观察组均显著高于对照组,差异有统计学意义(P<0.05)。治疗后,两组阴道健康指数评分均显著高于治疗前,且观察组高于对照组,差异有统计学意义(P<0.05)。结论:点阵二氧化碳激光治疗阴道松弛症的疗效比改良阴道后壁修补术更好,FSFI评价更优,能显著改善患者性生活,对患者阴道健康具有促进作用。
