Department of Gynecology Minimally Invasive Center, Beijing Obstetrics and Gynecology Hospital, Capital Medical University, Beijing, China.
J Int Med Res. 2021 Feb;49(2):300060521990519. doi: 10.1177/0300060521990519.
To assess the therapeutic effects of different vaginal mould use approaches after vaginoplasty in patients with Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome.
Patients with MRKH syndrome who underwent surgery from 2010 to 2015 in our hospital were retrospectively evaluated. Vaginoplasty was performed with artificial dermis, and vaginal moulds were used for 6 months postoperatively. The patients were divided into an intermittent group and continuous group according to the vaginal mould approach.
Thirty-five patients were evaluated (intermittent group, 19 patients; continuous group, 16 patients). One month postoperatively, the mean vaginal length and width in the intermittent group were 9.26 ± 0.56 and 3.82 ± 0.25 cm, respectively, and those in the continuous group were 9.44 ± 0.51 and 3.86 ± 0.22 cm, respectively. Six months postoperatively, the mean vaginal length and width in the intermittent group were 8.94 ± 0.71 and 3.76 ± 0.26 cm, respectively, and those in the continuous group were 8.69 ± 0.48 and 3.65 ± 0.30 cm, respectively. The mean Female Sexual Function Index scores in the intermittent and continuous groups were 28.61 ± 0.71 and 28.4 80 ±0.79 respectively, after normal sexual life.
Both intermittent and continuous use of postoperative vaginal moulds may be effective.
评估先天性无阴道（MRKH）综合征患者阴道成形术后不同阴道模具使用方法的治疗效果。
回顾性分析 2010 年至 2015 年在我院行手术治疗的 MRKH 综合征患者。采用人工真皮行阴道成形术，术后 6 个月使用阴道模具。根据阴道模具的使用方法，将患者分为间歇组和连续组。
共 35 例患者纳入研究（间歇组 19 例，连续组 16 例）。术后 1 个月，间歇组患者的阴道长度和宽度平均值分别为 9.26±0.56cm 和 3.82±0.25cm，连续组分别为 9.44±0.51cm 和 3.86±0.22cm。术后 6 个月，间歇组患者的阴道长度和宽度平均值分别为 8.94±0.71cm 和 3.76±0.26cm，连续组分别为 8.69±0.48cm 和 3.65±0.30cm。间歇组和连续组患者在正常性生活后的女性性功能指数评分分别为 28.61±0.71 分和 28.48±0.79 分。
术后间歇和连续使用阴道模具均可能有效。
