腹腔镜子宫骶骨神经切除术治疗原发性深部性交疼痛：一项初步研究。
Treatment of primary deep dyspareunia with laparoscopic uterosacral nerve ablation procedure: a pilot study.
作者信息
Juang Chi-Mou, Yen Ming-Shien, Horng Huann-Cheng, Cheng Chih-Yao, Yu Hung-Chuan, Chang Chia-Ming
机构信息
Division of General Gynecology, Department of Obstetrics and Gynecology, Taipei Veterans General Hospital, Taipei, ROC.
出版信息
J Chin Med Assoc. 2006 Mar;69(3):110-4. doi: 10.1016/S1726-4901(09)70187-X.
BACKGROUND
This pilot study was undertaken to evaluate the effect of laparoscopic uterosacral nerve ablation (LUNA) for treatment of primary deep dyspareunia.
METHODS
Between July 2002 and June 2003, 12 consecutive patients diagnosed with primary deep dyspareunia were treated with the LUNA procedure. The evaluation scoring system included the Hospital Anxiety and Depression Scale and the revised Sabbatsberg Sexual Rating Scale, done at baseline and 3, 6, and 12 months after LUNA.
RESULTS
At the initial 3-month follow-up period, 3 patients were very satisfied with their treatment, 5 were satisfied, 2 uncertain, 1 dissatisfied, and 1 very dissatisfied. The corresponding figures at the 12-month follow-up visit were 2, 4, 4, 1, and 1, respectively. Overall, 8 (66.7%) patients in this trial were very satisfied or satisfied at the initial postoperative evaluation and 6 of them (50.0%) remained satisfied at the final evaluation.
CONCLUSION
Over half of the study patients felt satisfied with the results of treatment with LUNA. Further prospective controlled clinical trials are mandatory to validate its effectiveness.
背景
本前瞻性研究旨在评估腹腔镜子宫骶骨神经切断术（LUNA）治疗原发性深部性交困难的效果。
方法
在2002年7月至2003年6月期间，连续12例被诊断为原发性深部性交困难的患者接受了LUNA手术。评估评分系统包括医院焦虑和抑郁量表以及修订后的萨巴特贝格性评分量表，分别在基线时以及LUNA术后3、6和12个月进行评估。
结果
在最初的3个月随访期，3例患者对治疗非常满意，5例满意，2例不确定，1例不满意，1例非常不满意。在12个月随访时相应的数据分别为2例、4例、4例、1例和1例。总体而言，本试验中有8例（66.7%）患者在术后初始评估时非常满意或满意，其中6例（50.0%）在最终评估时仍保持满意。
结论
超过半数的研究患者对LUNA治疗结果感到满意。需要进一步进行前瞻性对照临床试验以验证其有效性。
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