郑紫迎 刘依帆 刘志发 吴庭芳 黄和平

    [摘要]目的：探讨富血小板血浆(Platelet rich plasma，PRP)联合自体脂肪颗粒移植在治疗阴道松弛中的临床应用效果。方法：选择2016年6月-2019年9月于笔者医院治疗的18例阴道松弛症患者，采用PRP联合自体脂肪颗粒移植治疗(获取患者自体脂肪颗粒约30 ml以及对应比例的PRP，将两者混合液注射于阴道后壁黏膜下层)，术后给予抗感染治疗，禁止性生活2个月。观察术后并发症、阴道松弛改善情况及患者性功能。結果：本组18例患者，术后随访6～12个月，未发现感染、结节、脂肪液化、凹凸不平及感觉迟钝等并发症，阴道松弛程度明显改善，阴道内可容纳2指至2指半。其中14例(77.78%)患者自觉性生活明显改善，非常满意；3例(16.67%)患者自觉改善不明显；1例(5.56%)患者自觉无改善。18例患者术后6个月女性性功能量表(Female sexual function index，FSFI)评分为(25.09±2.68)分，明显高于术前的(20.23±2.18)分(P<0.05)。结论：PRP联合自体脂肪颗粒移植治疗阴道松弛操作简单，组织损伤小，恢复快，效果良好。

    [关键词]富血小板血浆；自体脂肪；移植；阴道松弛；微创；性生活

    [中图分类号]R622? ? [文献标志码]A? ? [文章编号]1008-6455(2023)09-0027-03

    Application of Platelet Rich Plasma Combined with Autogenous Fat Granule Transplantation in the Treatment of Vaginal Relaxation

    ZHENG Ziying，LIU Yifan，LIU Zhifa ，WU Tingfang ，HUANG Heping

    (Department of Medical Beauty，Affiliated Maternal and Child Health Hospital of Nanchang University，Nanchang 330000，Jiangxi，China)

    Abstract： Objective? To explore the clinical application of platelet rich plasma combined with autologous fat granule transplantation in the treatment of vaginal relaxation. Methods? 18 patients with vaginal relaxation treated in our hospital from June 2016 to September 2019 were selected and treated with PRP combined with autologous fat granule transplantation (about 30 ml of autologous fat granules and the corresponding proportion of PRP were obtained from the patient ......