阴道内点阵CO_(2)激光联合盆底磁电刺激治疗女性轻中度压力性尿失禁效果观察  

Observation on effects of intravaginal fractional CO_(2) laser combined with pelvic floor magneto-electric stimulation in the treatment of mild to moderate female stress urinary incontinence

作　　者：赵颖 高湛[1] 郭琦[1] ZHAO Ying;GAO Zhan;GUO Qi(Department of Gynecology and Obstetrics,The Fifth Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China)

机构地区：[1]郑州大学第五附属医院妇产科,河南郑州450052

出　　处：《山东医药》2025年第2期20-24,共5页Shandong Medical Journal

基　　金：河南省医学科技攻关计划联合共建项目(LHGJ20220567)。

摘　　要：目的观察阴道内点阵CO_(2)激光联合盆底磁电刺激治疗女性轻中度压力性尿失禁(SUI)的临床疗效。方法回顾性选取94例轻、中度SUI女性患者,根据治疗方案不同分为联合组47例、对照组47例。对照组接受盆底磁电刺激治疗,联合组在对照组治疗方案的基础上联合阴道内点阵CO_(2)激光治疗,两组均治疗3个月。治疗前后采用1 h尿垫试验漏尿量判定临床疗效,改良牛津肌力分级及盆底表面肌电仪评估患者的盆底功能,国际尿失禁咨询委员会尿失禁问卷简表(ICI-Q-SF)、盆腔脏器脱垂/尿失禁性功能问卷(PISQ-12)评估患者的生活质量。结果与治疗前相比,治疗后两组1 h尿垫试验漏尿量均减少,且联合组减少更明显(P均<0.05)。联合组与对照组临床疗效比较差异具有统计学意义(P<0.05)。与治疗前相比,治疗后两组盆底肌力均升高,且联合组升高更明显(P均<0.05)。与治疗前相比,治疗后两组快速收缩阶段最大值、紧张收缩阶段平均值和耐力收缩阶段平均值均升高,且联合组升高更明显(P均<0.05)。与治疗前相比,治疗后两组ICI-Q-SF评分降低、PISQ-12评分升高(P均<0.05);与对照组相比,治疗后联合组ICI-Q-SF评分低、PISQ-12评分高(P均<0.05)。结论阴道内点阵CO_(2)激光联合盆底磁电刺激治疗女性轻中度SUI的临床效果较好,能通过改善患者的盆底肌力和控尿能力,减轻其临床症状,提高其生活质量。Objective To observe the clinical efficacy of intravaginal fractional CO_(2) laser combined with pelvic floor magneto-electric stimulation in the treatment of mild to moderate stress urinary incontinence(SUI)in women.Methods Ninety-four female patients with mild to moderate SUI were retrospectively selected for this study.Based on different treatment regimens,these patients were divided into two groups:the combined group(n=47)and control group(n=47).The control group received magneto-electric stimulation therapy,while the combined group received intravaginal fractional CO_(2) laser therapy in addition to the control group's treatment regimen.Both groups were treated for 3 months.Clinical outcomes were assessed by urine leakage measurement through the one-hour pad test before and after treatment.Pelvic floor function was evaluated using the modified Oxford muscle strength grading system and pelvic floor surface elec tromyography,while quality of life was assessed with the International Consultation on Incontinence Questionnaire-Short Form(ICI-Q-SF)and Prolapse/Urinary Incontinence Sexual Function Questionnaire(PISQ-12)before and after treat ment.Results After treatment,both groups showed a reduction in urine leakage measured by the one-hour pad test com pared with the baseline,with the combined group showing a more significant decrease(all P<0.05).There was a statisti cally significant difference in the clinical efficacy between the combined group and the control group(P<0.05).Compared with that before treatment,the pelvic floor muscle strength of both groups increased after treatment,with a more significant increase in the combined group(all P<0.05).Compared with those before treatment,both groups showed increases in the maximum value during the fast contraction phase,the average value during the sustained contraction phase,and the aver age value during the endurance contraction phase after treatment,with the combined group showing more significant in creases(all P<0.05).Both groups showed a decrease in ICI-Q-SF

关 键 词：阴道内点阵CO_(2)激光 盆底磁电刺激 压力性尿失禁 

分 类 号：R711[医药卫生—妇产科学]