浅表局限性前庭大腺切除术后宫旁腺管阻塞的发生率。
Incidence of Bartholin's duct occlusion after superficial localized vestibulectomy.
作者信息
Goetsch Martha F
机构信息
Department of Obstetrics and Gynecology, Oregon Health and Science University, Portland, OR, USA.
出版信息
Am J Obstet Gynecol. 2009 Jun;200(6):688.e1-6. doi: 10.1016/j.ajog.2009.02.037. Epub 2009 Apr 18.
OBJECTIVE
The objective of the study was to analyze the incidence of occlusion of Bartholin's ducts after the procedure of superficial localized vestibulectomy for severe vulvar vestibulitis.
STUDY DESIGN
One hundred fifty-five women underwent modified superficial vestibulectomy for severe primary or secondary vestibulitis between 1989 and 2007. Charts were reviewed and data were calculated regarding occlusion of Bartholin's ducts. Database software was FileMaker Pro 5 (FileMaker, Inc, Santa Clara, CA). SPSS 16.0 (SPSS, Inc, Chicago, IL) calculated means.
RESULTS
Fourteen of 155 women (9%) had small blisters noted at a Bartholin's duct site after healing. Of these, 6 (43%) noted local symptoms related to sexual arousal. Surgical unroofing was attempted in 8 (62%) and corrected symptoms in all but 1. The subject with remaining symptoms notes deep pain with arousal suggestive of Bartholin's adenitis.
CONCLUSION
The incidence of duct ostium occlusion after superficial modified vestibulectomy was 9%, and only half had symptoms. Methods of surgical treatment of the occlusion are compared.
目的
本研究的目的是分析重度外阴前庭炎行浅表局限性前庭切除术术后巴氏腺导管堵塞的发生率。
研究设计
1989年至2007年间，155名女性因重度原发性或继发性前庭炎接受了改良浅表前庭切除术。回顾病历并计算关于巴氏腺导管堵塞的数据。数据库软件为FileMaker Pro 5（FileMaker公司，加利福尼亚州圣克拉拉）。采用SPSS 16.0（SPSS公司，伊利诺伊州芝加哥）计算均值。
结果
155名女性中有14名（9%）在愈合后巴氏腺导管部位出现小水泡。其中，6名（43%）出现与性唤起相关的局部症状。8名（62%）尝试手术造口，除1名外其余症状均得到改善。仍有症状的受试者在性唤起时出现深部疼痛，提示巴氏腺炎。
结论
改良浅表前庭切除术后导管开口堵塞的发生率为9%，仅有半数出现症状。比较了堵塞的手术治疗方法。
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