中国医科大学学报

中国医科大学学报

中国医科大学学报 ›› 2009, Vol. 38 ›› Issue (10): 778–.

• 临床医学 • 上一篇    下一篇

女性压力性尿失禁患者盆底生物反馈治疗36例临床分析

程大丽; 穆庆; 夏志军   

  1. 中国医科大学附属盛京医院妇产科
  • 出版日期:2009-10-20 发布日期:2010-04-02
  • 通讯作者: 程大丽 E-mail:chengdl@sj hospital.org

Efficiency of Biofeedback and Pelvic Electric Stimulation Therapy for Female Stress Urinary Incontinence

  • Online:2009-10-20 Published:2010-04-02

摘要:

目的探讨盆底生物反馈治疗女性压力性尿失禁(SUI)的短期临床效果。方法36例女性压力性尿失禁患者,接受法国MeprasolBIO2001型盆底生物反馈治疗仪生物反馈+电刺激治疗5周。治疗结束后随访3个月。根据治疗前后患者主观和客观临床参数评分及生活质量评分进行疗效评价。结果治疗结束后,70%患者治愈达到不再漏尿,22%患者症状得到改善。溢尿次数平均3d减少6次,所有患者治疗前后行膀胱灌注试验,26例治疗后初始排尿欲膀胱容量和最大膀胱容量较治疗前增大,差异有统计学意义(P<0.01)。所有患者生活质量评分均显著提高(P<0.05)。治疗中未见任何不良反应,治疗后随访3个月,16例(60%)患者症状复发。结论盆底生物反馈+电刺激治疗压力性尿失禁安全、有效、简便、无痛,但疗效续时间较短,应长期应用。

关键词: 盆底功能障碍性疾病, 压力性尿失禁, 生物反馈

Abstract:

Objective To evaluate the clinical results of biofeedback and
      pelvic electric stimulation therapy for stress urinary incontinence in
      women. Methods Totally 36 women with stress urinary incontinence were
      prospectively studied by treating with biofeedback and pelvic electric
      stimulation therapy (MeprasolBIO2001). All the patients were follow-up for
      3 months. Results About 70% of the patients were completely dry and 22%
      reported subjective improved,the recurrence rate at 3 months follow-up was
      60%. Conclusion Biofeedback and pelvic electric stimulation therapy is a
      safe method for treating stress urinary incontinence. It is effective and
      easy to perform as an outpatient treatment. But the therapy should be
      performed for a longterm.

Key words: pelvic floor dysfunctional disease, stress urinary incontinence; biofeedback

[1] 贾俊华,夏志军. 不同生物反馈电刺激方案治疗女性压力性尿失禁的疗效[J]. 中国医科大学学报, 2015, 44(8): 717-720.
[2] 李宁,马琳,阚艳敏. 妊娠晚期压力性尿失禁患者的盆底超声观察及ROC曲线分析[J]. 中国医科大学学报, 2015, 44(2): 156-159.
[3] 李长思,马跃文,. 生物刺激反馈仪治疗脊髓损伤所致神经源性膀胱的治疗效果[J]. 中国医科大学学报, 2013, 42(5): 469-471.
[4] 陈涓涓,夏志军,许海楠, 秦美英. 阴道前壁瓣自体移植治疗压力性尿失禁临床探讨[J]. 中国医科大学学报, 2013, 42(10): 918-923.
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