盆底磁刺激治疗女性压力性尿失禁近期疗效初探  

Functional magnetic stimulation of pelvic floor in female stress urinary incontinence

作　　者：海宁[1] 朱兰[1] 郎景和[1] 史欣文[1] 

机构地区：[1]中国医学科学院,中国协和医科大学北京协和医院妇产科,北京100730

出　　处：《生物医学工程与临床》2008年第5期401-403,共3页Biomedical Engineering and Clinical Medicine

摘　　要：目的探讨盆底磁刺激治疗女性压力性尿失禁的短期临床效果。方法20例压力性尿失禁患者,平均年龄为(52.5±11.0)岁,平均产次(1.4±0.6)次;11例(56%)处于绝经期。接受Neocontrol8盆底磁刺激治疗8周,根据治疗前后患者主观和客观临床参数评分进行疗效评价,并进行治疗前后生活质量评分和膀胱充盈试验,治疗结束后随访3个月,随诊率100%。结果治疗结束后75%患者不再漏尿,15%患者症状得到改善。1h尿垫试验结果平均溢尿量减少7.6g,3d溢尿次数平均减少5.1次。16例患者治疗前后行膀胱灌注试验,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<0.05)。所有患者生活质量评分显著提高(P<0.05)。治疗中未见任何副作用。治疗后随诊3个月,治愈患者中60%症状复发。结论盆底磁刺激是治疗压力性尿失禁的安全、有效、简便、无痛的方法,但疗效持续时间较短。Objective To evaluate the clinical results of efficiency and applicability of functional magnetic stimulation of the pelvic floor for treating urinary incontinence in women. Methods A total of 20 women with demonstrable stress urinary incontinence were prospectively studied by treating with magnetic stimulation. Pretreatment and posttreatment evaluation was accessed by clinical history, voiding diary, quality of life survey and simple bladder filling test. Patients were followed up for 3 months. Resnlts About 75 % of the patients were completely dry and 15 % reported subjective improvement. The recurrence rate at 3 months follow-up was 60 %. Conclusion Magnetic stimulation of pelvic floor is a safe,noninvasive and painless treatment for stress urinary incontinence. It is effective and easy to perform as an outpatient treatment in short term observation. But the long term effect should be further studied.

关 键 词：压力性尿失禁 盆底磁刺激 治疗 

分 类 号：R694.54[医药卫生—泌尿科学]