盆底磁、电刺激联合凯格尔运动训练治疗前列腺增生微创术后压力性尿失禁的疗效  

Efficacy of pelvic floor magnetic and electrical stimulation combined with Kegel exercise training in the treatment of stress urinary incontinence after minimally invasive surgery for benign prostatic hyperplasia

作　　者：屠民琦 史朝亮 徐耀宗 王洋 施国伟 TU Minqi;SHI Chaoliang;XU Yaozong;WANG Yang;SHI Guowei(Department of Urology,The Fifth People's Hospital of Shanghai,Fudan University,Shanghai 200240,China)

机构地区：[1]复旦大学附属上海市第五人民医院泌尿外科,上海200240

出　　处：《现代泌尿外科杂志》2023年第9期751-754,共4页Journal of Modern Urology

基　　金：上海市医学重点专科资助项目(No.ZK2019A03)。

摘　　要：目的观察盆底磁、电刺激联合凯格尔运动训练治疗前列腺增生(BPH)微创术后压力性尿失禁(SUI)的临床疗效和安全性。方法选取2016年1月—2022年2月在复旦大学附属上海市第五人民医院盆底中心收治的52例BPH微创术后发生SUI患者作为研究对象,随机分成试验组和对照组,各26例。对照组单用凯格尔运动训练,试验组在凯格尔运动训练基础上联合盆底磁刺激、电刺激治疗。两组均治疗3个月。分别在治疗前、后记录并比较两组患者尿失禁问卷表简表(ICIQ-SF)评分、1 h尿垫试验、国际前列腺症状评分(IPSS)及尿失禁生活质量问卷表(I-QoL),并观察患者治疗期间的不良反应。结果组内比较,试验组和对照组在治疗后ICIQ-SF评分、1 h尿垫试验、IPSS、I-QoL评分均减少,差异具有统计学意义(P<0.05)。组间比较,治疗前两组上述各项指标差异无统计学意义(P>0.05);治疗后试验组ICIQ-SF评分、1 h尿垫试验、IPSS、I-QoL评分比对照组降低,差异具有统计学意义(P<0.05)。两组均未见严重不良反应。结论对BPH微创术后SUI患者采用盆底磁、电刺激联合凯格尔运动训练治疗,具有良好的疗效并安全可靠,值得临床推广。Objective To explore the clinical efficacy and safety of pelvic floor magnetic and electrical stimulation combined with Kegel exercise training in the treatment of stress urinary incontinence(SUI)after minimally invasive surgery for benign prostatic hyperplasia(BPH).Methods A total of 52 patients with SUI after minimally invasive surgery for BPH treated during Jan.2016 and Feb.2022 were randomly divided into test group(n=26)and control group(n=26).The test group received pelvic floor magnetic and electrical stimulation and Kegel exercise training,while the control group received Kegel exercise training only.The treatment lasted for 3 months.The scores of International Consultation on Incontinence Modular Questionnaire Short Form(ICIQ-SF),1 h pad test,International Prostate Symptom Score(IPSS)and Incontinence Quality of Life Questionnaire(I-QoL)were recorded and compared between the two groups before and after treatment.The adverse reactions were observed.Results The scores of ICIQ-SF,IPSS and I-QoL and 1 h pad test significantly decreased in both groups after treatment(P<0.05).Before treatment,there were no significant differences of the above indicators between the two groups(P>0.05),but after treatment,the scores of ICIQ-SF,IPSS,I-QoL and 1 h pad test were significantly lower in the test group than in the control group(P<0.05).No severe adverse reactions were observed.Conclusion Pelvic floor magnetic stimulation combined with Kegel exercise training is safe and effective for SUI after minimally invasive surgery for BPH.

关 键 词：前列腺增生 微创手术 压力性尿失禁 盆底磁刺激 盆底电刺激 国际前列腺症状评分 国际尿失禁咨询委员会问卷量表 1 h尿垫试验 尿失禁生活质量问卷表 凯格尔运动 

分 类 号：R694.54[医药卫生—泌尿科学]