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阴道松妇女的治疗:系统性审查与元分析

Glaucia Miranda Varella Pereira^1,2,3, Rufus Cartwright^2,3, Cássia Raquel Teatin Juliato¹

¹Department of Obstetrics and Gynaecology, School of Medical Sciences, University of Campinas, Campinas, SP 13083-881, Brazil.

The journal of sexual medicine

|March 20, 2024

概括

射频 (RF) 和激光治疗改善了阴道松 (VL) 的女性的性功能,根据观察性研究,但不是RCT. 骨盆底肌 (PFM) 的强度在干预后得到改善.

科学领域:

妇科妇科妇科妇科
性健康性的健康
医学美学医学美学

背景情况:

阴道松 (VL) 是女性普遍关注的问题,有各种治疗方法可用,但对其有效性的系统审查有限.
关于VL治疗的现有证据缺乏全面的分析,需要对保守和手术干预进行审查.

研究的目的:

系统地审查治疗阴道松 (VL) 的干预措施的有效性和安全性.
总结有关VL保守和手术治疗的最佳现有证据.

主要方法:

在Medline,Embase,Scopus,Web of Science和Cochrane图书馆进行全面搜索,截至2022年9月.
包括研究任何VL治疗的英语临床试验 (RCT和非RCT).
排除没有明确的VL定义的案例报告和研究.

主要成果:

从816个记录中分析了38项研究;激光和射频 (RF) 是常见的基于能量的治疗方法.
观察性研究表明,使用射频和激光 (MD 6.51) 改善了性功能,但这在3个RCT中没有复制.
骨盆底肌 (PFM) 的强度在干预后得到改善 (MD 4.22),尽管阴道收紧并没有增强感觉.

结论:

虽然观察数据表明,射频和激光治疗可以提高VL女性的性功能,但RCT没有证实这些发现.
在治疗阴道松后,盆地肌肉 (PFM) 的强度有所改善.
缺乏标准化的VL定义和研究异质性限制了聚合数据分析,突出了前性研究的需要.

关键词:

这是一个元分析.盆地肌肉盆地肌肉盆地肌肉性功能性功能性功能性功能性功能性功能系统性审查系统性审查阴道松性阴道松性

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