盆底肌肉电刺激联合生物反馈法治疗妇女压力性尿失禁的疗效分析  

Effect analysis of pelvic floor muscle electrical stimulation combined with biofeedback method in treatment of wemen stress urinary incontinence

作　　者：景治安[1] 胡和平[1] 刘彦军[1] 刘磊[1] 冯占启[1] 高江涛[1] 吴辉[1] 

机构地区：[1]郑州市第一人民医院泌尿外科,河南郑州450004

出　　处：《现代医学》2014年第12期1386-1389,共4页Modern Medical Journal

摘　　要：目的:探讨盆底肌肉电刺激联合生物反馈法在妇女压力性尿失禁治疗中的价值。方法:将162例女性压力性尿失禁患者按其治疗方法不同分为盆底肌肉电刺激联合生物反馈疗法组(保守组,n=94)和经阴道尿道中段无张力悬吊带术(tension-free vaginal tape,TVT)组(TVT组,n=68)。观察比较两组患者治疗前后24 h总排尿次数、总尿失禁次数、总膀胱容量并进行统计分析。结果:24 h总排尿次数保守组治疗后减少[(34.2±16.3)次vs(23.8±14.6)次],差异有统计学意义(t=4.61,P<0.001);TVT组治疗后也减少[(34.9±19.7)次vs(24.1±12.5)次],差异有统计学意义(t=3.82,P=0.000 2)。24 h总尿失禁次数保守组治疗后减少[(27.9±16.8)次vs(11.5±10.7)次],差异有统计学意义(t=7.98,P<0.001);TVT组治疗后也减少[(28.3±19.6)次vs(10.6±11.3)次],差异有统计学意义(t=6.45,P<0.001)。总膀胱容量保守组治疗后增加[(112.5±69.3)ml vs(172.1±89.4)ml,差异有统计学意义(t=-5.11,P<0.001);TVT组治疗后也增加[(115.7±78.6)ml vs(186.5±96.9)ml,差异有统计学意义(t=-4.68,P<0.001)。保守组的治愈率及有效率与TVT组比较(治愈率83.0%vs 88.2%,有效率10.6%vs 8.8%),差异均无统计学意义(P>0.05)。结论:盆底肌肉电刺激联合生物反馈疗法治疗女性压力性尿失禁效果与TVT相似。Objective： To investigate the effect of electrical stimulation of the pelvic floor muscle combined with biofeedback in the treatment of stress urinary incontinence （SUI） in female patients. Methods： 162 female patients with SUI were retrospectively analyzed. According to the different treatment methods, patients were divided into pelvic floor muscle electrical stimulation combined with biofeedback group （conservative group） and tension- free vaginal tape group （ TVT group）. Pre- and post- treatment the data of the 24 h total frequency of urination, 24 h total number of incontinence episodes and total bladder capacity were enrolled in statistical analysis. Results： Compared to pre-treatment data, there were significant induce in both groups in the term of 24 h total frequency of urination （conservative group： 34.2 ± 16.3 vs 23.8 ± 14.6, t =4.61, P〈0.001; TVT group： 34.9 ± 19.7 vs 24. 1 ±12. 5, t =3.82, P =0. 0002）, the 24 h total number of incontinence episodes （conservative group： 27. 9 ± 16.8vs11.5 ＋ 10.7, t=7.98, P〈0.001;TVTgroup：28.3 ± 19.6vs10.6 ＋ 11.3, t=6.45, P〈0.001）, while the total bladder capacity in two groups were higher than pre-treatment [ conservative group： （112. 5 ± 69.3） mlvs（172.1 ± 89.4） ml, t = -5.11, P〈0.001; TVT group：（115.7 ± 78.6） ml vs（186.5 ± 96. 9） ml, t = -4. 68, P 〈0. 001 ]. In addition, the cure rate and efficiency rate between the two groups were no significant differences （ cure rate ： 83.0% vs 88.2% ; efficiency rate ： 10. 6% vs 8.8% ; all P 〉 0. 05 ）. Conclusion： Pelvic floor muscle electrical stimulation combined with biofeedback is safe and effective in the treatment of female stress urinary incontinence.

关 键 词：压力性尿失禁 电刺激 生物反馈 

分 类 号：R694.54[医药卫生—泌尿科学]