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Glazer教授文献摘要 Long Term Follow-Up After Treatment with Surface Electromyography-Assisted Pelvic Floor Muscle Rehabilitation Howard I. Glazer Ph.D.* *From the Departments of Psychiatry and Obstetrics and Gynecology, Joan and Sanford Weill Medical College of Cornell University, New York, New York Dr. Glazer is a Clinical Associate Professor of Psychology in Psychiatry and in Obstetrics and Gynecology. Address reprint requests to: Howard I. Glazer Ph.D. 340 East 63rd St. #1A New York, N.Y. 10021 应用表面肌电评估及训练盆底肌肉功能障碍的长程数据回顾分析报告 目的：对dysesthetic vulvodynia的患者进行长期随访，对应用表面肌电进行盆底肌肉功能进行评估及训练后的回访数据进行分析。 研究方法：对1994-1996年间62例患有 dyesthetic vulvodynia 的患者进行回访，全部患者在治疗前均进行评估，治疗结束后症状均消失。43位患者对问卷提问进行答复，问卷内容包括：疼痛、具体治疗方法、日常功能、性功能状况等。 结果：43例患者中有38位患者（88.4%）报告：进行完整的治疗过程后未再出现阴道疼痛症状；有3位患者报告：曾有一次阴道疼痛的急性发作，另有2位患者报告：曾有二次阴道疼痛的急性发作，以上5位患者均报告在平均19.8个月中未有疼痛发作。所有43例患者均报告在成功完成治疗后，平均39.5个月在未出现疼痛。在日常生活未见引发阴道疼痛的特殊对待及限制的报告。所有患者均报告性生活积极主动。 结论：应用表面肌电对盆底肌肉功能进行康复训练对dysesthetic vulvodynia是一种确实的并且长期有效的治疗手段。 介绍：dysesthetic vulvodynia 是一种无法解释的慢性、无接触、部位不确定的阴道疼痛综合症。典型表现为类似于烧灼感、刺痛感、易激惹或生硬感。以往dysesthetic vulvodynia的发生率一直未被重视，以前通常会在初诊时会被报告为性交困难、盆腔疼痛包括痛经（46%）、肠易激综合症（39%）。 Treatment of Vulvar Vestibulitis Syndrome with Electromyographic Biofeedback of Pelvic Floor Musculature Howard I. Glazer, Ph.D., Gae Rodke, M.D., Charles Swencionis, Ph.D., Ronny Hertz, D.D.S., M.D., Reprinted from ：THE JOURNAL OF REPRODUCTIVE MEDICINE Vol. 40 No. 4, April 1995 With Permission of the First Author Abstract Thirty-three women diagnosed as suffering from vulvar vestibulitis syndrome, marked by a significant history of long-term moderate to severe chronic introital dyspareunia and tenderness of the vulvar vestibule, were selected for treatment. Patients were given a computerized electromyographic evaluation of the pelvic floor muscles and were then provided with portable electromyographic biofeedback instrumentation and instructions on the conduct of daily, at-home, biofeedback-assisted pelvic floor muscle rehabilitation exer