改良外阴前庭切除术：治疗外阴前庭炎的简单有效手术
Modified vulvar vestibulectomy: simple and effective surgery for the treatment of vulvar vestibulitis.
作者信息
Lavy Yuval, Lev-Sagie Ahinoam, Hamani Yaron, Zacut David, Ben-Chetrit Avraham
机构信息
Department of Obstetrics and Gynecology, Hadassah University Hospital, Hadassah Medical Organization, Mt. Scopus, P.O.B. 24035, Jerusalem 91240, Israel.
出版信息
Eur J Obstet Gynecol Reprod Biol. 2005 May 1;120(1):91-5. doi: 10.1016/j.ejogrb.2004.04.039.
OBJECTIVE
To evaluate the success of a simple modified vestibulectomy in treating vulvar vestibulitis.
STUDY DESIGN
Fifty-nine patients with vulvar vestibulitis refractory to nonsurgical treatment underwent modified vestibulectomy. Response was defined as return to normal coitus and was graded as complete, partial or non-responsive.
RESULTS
The postoperative follow-up period was 6 months-10 years. Thirty-nine (73.6%) patients reported complete response, 7 (13.2%) had partial response, and 7 (13.2%) were non-responsive to surgery.
CONCLUSION
Surgery is an effective treatment for vulvar vestibulitis refractory to conservative treatment. Simple modified vestibulectomy is considerably less invasive, technically simpler and probably less time consuming. Postoperative results employing this surgical procedure are found to be in line with postoperative results reported by others who employ surgical methods that are more extensive.
目的
评估一种简单改良前庭切除术治疗外阴前庭炎的效果。
研究设计
59例经非手术治疗无效的外阴前庭炎患者接受了改良前庭切除术。疗效定义为恢复正常性交，并分为完全缓解、部分缓解或无反应。
结果
术后随访时间为6个月至10年。39例（73.6%）患者报告完全缓解，7例（13.2%）部分缓解，7例（13.2%）手术无反应。
结论
手术是治疗保守治疗无效的外阴前庭炎的有效方法。简单改良前庭切除术创伤小得多，技术上更简单，可能耗时也更少。采用这种手术方法的术后结果与采用更广泛手术方法的其他人报告的术后结果一致。
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