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首页> 外文期刊>Acta Obstetricia et Gynecologica Scandinavica: Official Publication of the Nordisk Forening for Obstetrik och Gynekologi >Long-term follow up of posterior vestibulectomy for treating vulvar vestibulitis.
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Long-term follow up of posterior vestibulectomy for treating vulvar vestibulitis.

机译：后庭前庭切除术的长期随访治疗外阴前庭炎。

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Objective. To evaluate the safety and the effectiveness of posterior vestibulectomy in the treatment of vulvar vestibulitis syndrome. Design. A retrospective cohort study. Setting. University Hospital, tertiary referral center. Population. Seventy women treated by posterior vestibulectomy for severe vulvar vestibulitis syndrome during 1995-2007 at the Department of Obstetrics and Gynecology, University Hospital, Helsinki. Methods. All operated women were invited to a long-term follow-up study. Patient characteristics, baseline visual analog scale (VAS) for dyspareunia and data from the postoperative period were collected. Of the 70 women, 57 attended the follow-up visit including face-to-face interview, gynecological examination with swab-touch test for vestibular tenderness, current VAS score for dyspareunia and McCoy questionnaire for sexual problems. Main Outcome Measures. Short-term and long-term complication rates, dyspareunia by VAS score, vestibular tenderness, sexual problem index and overall patient satisfaction. Results. Ninety-one per cent were satisfied with the outcome. The VAS for dyspareunia decreased from a median of 9 to 3 (66.7% decrease; p<0.001). Posterior vestibular tenderness was absent in 34 patients (64.2%). Six (8.6%) patients developed postoperative bleeding and 11 (15.7%) mild wound infection. Bartholin's cysts occurred in four (5.7%) patients. Conclusions. Posterior vestibulectomy is effective and safe in the treatment of severe vulvar vestibulitis syndrome and provides long-term patient satisfaction.
机译：目的。评估后庭前庭切除术治疗外阴前庭炎综合征的安全性和有效性。设计。回顾性队列研究。设置。大学医院，三级转诊中心。人口。 1995-2007年间，在赫尔辛基大学医院妇产科接受后庭前庭切除术治疗的70名严重外阴前庭炎综合征妇女。方法。所有接受手术的妇女均应接受长期随访研究。收集患者特征，排卵困难的基线视觉模拟量表（VAS）和术后期间的数据。在这70名妇女中，有57名参加了随访，包括面对面访谈，妇科检查和拭子触诊检查前庭压痛，目前的VAS痛经评分和性问题的McCoy问卷。主要观察指标。短期和长期并发症发生率，通过VAS评分引起的性交困难，前庭压痛，性问题指数和总体患者满意度。结果。百分之九十一的人对结果感到满意。痛经的VAS从中位数9降低至3（降低66.7％; p <0.001）。 34例患者中无前庭后压痛（64.2％）。六名（8.6％）患者发生了术后出血，其中十一名（15.7％）出现了轻度伤口感染。 Bartholin的囊肿发生在四名（5.7％）患者中。结论后庭前庭切除术在治疗严重的外阴前庭炎综合征时是安全有效的，并且可以使患者长期满意。

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