射频治疗阴道前壁脱垂伴压力性尿失禁的疗效分析  

Analysis of the Efficacy of Radiofrequency Treatment for Anterior Vaginal Wall Prolapse with Stress Urinary Incontinence

作　　者：陈星慧 高竹薇 张广斌 何军晶[1] 牛雅茹 马丽莎[1] CHEN Xinghui;GAO Zhuwei;ZHANG Guangbin;HE Junjing;NIU Yaru;MA Lisha(Health Management Center,Maternal and Child Health Hospital of Kunming,Kunming Yunnan 650031,China)

机构地区：[1]昆明市妇幼保健院健康管理中心,云南昆明650031

出　　处：《昆明医科大学学报》2022年第10期127-130,共4页Journal of Kunming Medical University

基　　金：昆明市卫生科技人才培养项目[2022-SW(技)-14]。

摘　　要：目的 研究射频治疗对阴道前壁脱垂伴SUI的治疗效果。方法 分析在昆明市妇幼保健院就诊的阴道前壁脱垂Ⅰ°~Ⅱ°伴SUI患者37例行射频治疗前后的临床资料。对患者进行射频治疗(每次50 min,5次为一个疗程),1个疗程后对患者进行1月、3月随访,采用盆底障碍影响简易问卷7(PFIQ-7)、盆腔脏器脱垂/尿失禁性功能问卷(PISQ-12)、盆底肌肌力等级评价疗效。结果 患者治疗后Aa、Ba点POP-Q评分均优于治疗前,差异均有统计学意义(P<0.05),患者治疗后1个月、3个月PFDI-12、 PFIQ-7评分与治疗前比较均明显降低,差异均有统计学意义(P<0.05);76.4%患者盆底肌肌力恢复至3级以上。结论 射频在治疗阴道前壁脱垂Ⅰ°~Ⅱ°伴SUI方面,具有显著的临床疗效。Objective To study the effect of radiofrequency therapy on anterior vaginal wall prolapse with SUI. Methods Clinical data of 37 patients with I-II degree of anterior vaginal wall prolapse with SUI in Kunming Maternal and Child Health Hospital were analyzed. The patients were treated with radiofrequency therapy(50minutes each time,5 times for one course of treatment),and were followed in January and March later. The simple impact questionnaire on pelvic floor disorders 7(PFIQ-7), pelvic organ prolapse/incontinence function questionnaire(PISQ-12),and pelvic floor muscle strength grade were evaluated. Results POP-Q scores of Aa and Ba were better than before treatment,the difference was significant(P<0.05),PFDI-12,PFIQ-7 scores and before treatment,(P<0.05);76.4% had pelvic floor muscle strength above grade 3. Conclusion RF has significant clinical efficacy in the treatment of anterior vaginal wall prolapse I-with SUI.

关 键 词：阴道前壁脱垂 压力性尿失禁 射频治疗 

分 类 号：R711.74[医药卫生—妇产科学]