Retrospective Analysis of the Effect of New Fractional CO2Laser Combined with Neuromuscular Stimulation in the Treatment of Postpartum Vaginal Relaxation
Liu Jing1, Yang Hui2, Lian Jiao1
1. Department of Obstetrics and Gynecology,Xinzheng Huaxin People's Hospital,Zhengzhou 451100,China; 2. Department of Pelvic Floor Rehabilitation,Zhengzhou Central Hospital,Zhengzhou 450000,China
AbstractObjective To explore the clinical effect of a new type of fractional CO2 laser combined with neuromuscular stimulation in the treatment of postpartum vaginal relaxation and its impact on vaginal relaxation,pelvic floor muscle function and sexual function.Methods A total of 68 patients with postpartum vaginal relaxation treated were retrospectively analyzed.According to the treatment plan,there were 34 cases in the control group（neuromuscular stimulation therapy）and 34 cases in the study group（new fractional CO2 laser combined with neuromuscular stimulation therapy）.The vaginal relaxation,pelvic floor muscle voltage（class Ⅰ muscle fibers,class Ⅱ muscle fibers）,pelvic floor muscle strength（resting,fast and slow muscles）,sexual function,vaginal mucosal indexes and vaginal relaxation related indexes[serum transforming growth factor-β1（TGF-β1）,relaxant（RLX）,estradiol（E2）]were statistically compared between the two groups before and after treatment.Results Compared with the control group,the vaginal relaxation in the study group was decreased after treatment（P<0.05）;compared with the control group,the voltage of type Ⅰ muscle fiber and type Ⅱ muscle fiber in the study group were increased after treatment（P<0.05）;compared with the control group,the resting muscle strength in the study group was decreased,while the fast and slow muscle strength were increased after treatment（P<0.05）;compared with the control group,the scores of of various dimensions of sexual function in the study group were increased after treatment（P<0.05）;compared with the control group,the scores of various dimension of vaginal mucosa index in the study group were increased after treatment（P<0.05）;compared with the control group,the levels of serum TGF-β1 and E2 in the study group were increased after treatment,while the level of RLX was decreased（P<0.05）.Conclusion The new fractional CO2 laser combined with neuromuscular stimulation in the treatment of postpartum vaginal relaxation can effectively reduce vaginal relaxation,improve pelvic floor muscle function,improve sexual function,vaginal mucosal secretion,and promote local tissue repair.
Liu Jing,Yang Hui,Lian Jiao. Retrospective Analysis of the Effect of New Fractional CO2Laser Combined with Neuromuscular Stimulation in the Treatment of Postpartum Vaginal Relaxation[J]. journal1, 2024, 44(4): 48-52.
[1] 曾小玲,李旭红,周艳华,等.二氧化碳激光联合肌电生物反馈疗法治疗阴道松弛的疗效观察[J].中华物理医学与康复杂志,2021,43(1):73-75. [2] 杨素勉,赵海峰,桑文淑.会阴体按摩联合生物反馈电刺激对产妇盆底功能及性功能的影响[J].实用医学杂志,2022,38(24):3118-3124. [3] Li FG,Fuchs T,Deans R,et al.Vaginal epithelial histology before and after fractional CO2 laser in postmenopausal women:a double-blind,sham-controlled randomized trial[J].Am J Obstet Gynecol,2023,229(3):278-278. [4] 尹一童,夏志军,宋悦.二氧化碳点阵激光治疗阴道松弛症疗效研究[J].中国实用妇科与产科杂志,2018,34(3):290-292. [5] 中国整形美容协会女性生殖整复分会.阴道松弛症诊断与治疗专家共识(2020年版)[J].中国实用妇科与产科杂志,2020,36(10):965-967. [6] Krychman ML.Vaginal Laxity Issues,Answers and Implications for Female Sexual Function[J].J Sex Med,2016,13(10):1445-7. [7] Sun XG,Li CY,Jin LN,et al.Development and validation of Chinese version of female sexual function index in a Chinese population-a pilot study[J].J Sex Med,2011,8(4):1101-1111. [8] 梁晓丽,谭燕萍,谭健坤,等.生物反馈阴道松弛电刺激联合Kegel训练对孕产妇分娩结局及产后盆底肌恢复状况的影响[J].中国医药,2016,11(12):1839-1843. [9] 林莉香,云红叶.阴道旁修补术联合提肛锻炼治疗重度阴道松弛症疗效探讨[J].中国美容医学,2022,31(6):55-58. [10] 徐月芳,李倩云.针刺足三里联合盆底康复治疗产后盆底功能障碍的临床研究[J].广州中医药大学学报,2021,38(1):62-66. [11] 汤良君,孙艳,张晓红,等.点阵二氧化碳激光与改良阴道后壁修补术治疗阴道松弛症疗效分析[J].中国美容医学,2021,30(4):85-88. [12] 廖媛,严小丽,王丹.新型点阵CO2激光治疗产后阴道松弛症的临床研究[J].第三军医大学学报,2020,42(13):1345-1349. [13] 张毅,李岩.低频电刺激神经肌肉联合阴道康复器辅助训练对产后盆底肌力恢复的疗效分析[J].中国妇幼保健,2023,38(17):3203-3206. [14] 庄初晨,程辰,麻荪香,等.CO2点阵激光治疗阴道松弛症的效果[J].中华医学美学美容杂志,2021,27(1):67-68. [15] 韦林宜,蒋丽.二氧化碳点阵激光对阴道松弛患者盆底肌松弛、性生活质量及阴道黏膜相关指标的影响[J].中国性科学,2020,29(6):83-86. [16] 张明华. 低频电刺激结合阴道哑铃训练对女性压力性尿失禁患者恢复情况血清松弛素及雌二醇表达水平的影响[J].中国妇幼保健,2021,36(13):3142-3145. [17] 张晶,王爱玲,石晨星,等.盆底磁刺激、生物电刺激联合盆底康复训练在产后阴道松弛症中的应用[J].海南医学,2023,34(13):1888-1892. [18] 刘琼芬,周丹,王红桂,等.点阵式CO2激光联合阴道后壁黏膜切除术对阴道松弛患者TGF-β1、IGF-1水平及性生活的影响[J].中国计划生育和妇产科,2021,13(1):54-58.
2024, Vol. 44 
