二氧化碳点阵激光治疗女性轻中度尿失禁的疗效分析  

Analysis of the efficacy of CO_(2) dioxide dot laser in women with mild-moderate urinary incontinence

作　　者：杨静[1] 刘娟 张珂[1] 胡杉[1] 唐烨妮 钟良 陆小鹃 罗婕[1] YANG Jing;LIU Juan;ZHANG Ke;Hu Shan;TANG Ye-ni;ZHONG Liang;LU Xiao-juan;LUO Jie(Hunan Provincial Maternal and Child Health Care Hospital Medical Beauty Center,Hunan Province,410028,China)

机构地区：[1]湖南省妇幼保健院医美中心,湖南长沙410028

出　　处：《中国医疗美容》2023年第6期14-17,共4页China Medical Cosmetology

基　　金：湖南省科技厅临床医疗技术创新引导项目(项目编号:2021SK50606)。

摘　　要：目的评估二氧化碳点阵激光治疗女性盆腔器官脱垂伴随尿失禁的患者的疗效性和安全性。方法选取2020年1月~2022年12月湖南省妇幼保健院门诊及病房治疗的60例POP患者为研究对象,分为理疗组(对照组)、激光组(观察组),每组各30例,普通理疗组患者接受24次磁电刺激理治疗,每周2次,每次30 min;点阵激光组患者在普通理疗组治疗基础上每月接受1次经阴道的二氧化碳点阵激光治疗,3个月为1个疗程。评估治疗前后临床疗效以及盆腔器官脱垂程度变化,同时检测治疗前后平均尿流率(AFR)、最大膀胱容量(MCC)、最大逼尿肌压(Pdet-Max)、残余尿量(PVR)水平变化。结果点阵激光组总有效率(90.00%)高于普通理疗组总有效率(76.67%)(P<0.05);治疗前理疗组与激光组盆腔器官脱垂程度差异无统计学意义,治疗后,与同组治疗前比较,两组患者盆腔器官脱垂程度均降低(P<0.05);治疗后,与同期普通理疗组比较,点阵激光组盆腔器官脱垂程度低于普通理疗组(P<0.05)。治疗前两组患者AFR、MCC、Pdet-Max、PVR水平差异无统计学意义。治疗后,与同组治疗前比较,两组患者AFR、MCC水平均升高(P<0.05),Pdet-Max、PVR水平均降低(P<0.05);治疗后,与同期普通理疗组比较,点阵激光组AFR、MCC水平高于普通理疗组(P<0.05),Pdet-Max、PVR水平低于普通理疗组(P<0.05),所有患者治疗期间均无不良反应。结论二氧化碳点阵激光治疗女性前盆腔器官脱垂伴随尿失禁的患者安全有效,长期疗效仍需进一步观察。Objective To evaluate the efficacy and safety of carbon dioxide lattice laser treatment in female patients with pelvic organ prolapse accompanied by urinary incontinence.Methods Selected 60 POP patients treated in clinic and ward of Hunan Maternal and Child Health Hospital from January 2020 to December 2022,divided into physical therapy group(control group)and laser group(observation group),30 patients in each group,24 patients received MR stimulation therapy twice a week,30 min,and the patients received CAO laser therapy once in one course for 3 months.Changes in clinical efficacy and pelvic organ prolapse were evaluated before and after treatment,and changes in mean urinary flow rate(AFR),maximal bladder capacity(MCC),maximum detrusor pressure(Pdex-Max),and residual urine volume(PVR)were measured before and after treatment.Results The total effective rate of the dot array laser group(90.00%)was higher than that of the general physiotherapy group(76.67%)(P<0.05);the difference between the patients before treatment(P<0.05);after treatment,the dot laser group was lower than that of the general physiotherapy group(P<0.05).There was no significant difference in AFR,MCC,Pdex-Max,and PVR levels between the two groups before treatment.After treatment,AFR and MCC increased(P<0.05)and Pdex-Max)(P<0.05);after treatment,the AFR and MCC were higher than the general physiotherapy group(P<0.05),Pdex-Max and PVR were lower than the general physiotherapy group(P<0.05),and all patients had no adverse effects during treatment.Conclusion Carbon dioxide dot matrix laser treatment in women with anterior pelvic organ prolapse and urinary incontinence is safe and effective,and the long-term effect still needs further observation.

关 键 词：二氧化碳点阵激光 尿失禁 女性盆腔器官脱垂 

分 类 号：R711.59[医药卫生—妇产科学]