低频电疗法联合盆底肌锻炼对机器人辅助腹腔镜下根治性前列腺切除术患者尿失禁的预防效果  

Effect of low-frequency electrotherapy combined with pelvic floor muscle exercise on the prevention of urinary incontinence in patients undergoing robot-assisted laparoscopic radical prostatectomy

作　　者：庞园 王良梅[1] 庄君龙[1] PANG Yuan;WANG Liangmei;ZHUANG Junlong(Department of Urology,Nanjing Drum Tower Hospital,the Affiliated Hospital of Nanjing University Medical School,Nanjing 210008,China)

机构地区：[1]南京大学医学院附属鼓楼医院泌尿外科,江苏南京210008

出　　处：《机器人外科学杂志(中英文)》2025年第3期450-454,共5页Chinese Journal of Robotic Surgery

基　　金：国家自然科学基金(81974394)。

摘　　要：目的:探讨低频电疗法联合盆底肌锻炼对机器人辅助腹腔镜下根治性前列腺切除术患者尿失禁的预防效果。方法:选择2020年1月—2022年1月南京大学医学院附属鼓楼医院收治的106例机器人辅助腹腔镜下根治性前列腺切除术患者,随机分为对照组(n=53)和研究组(n=53)。对照组行盆底肌锻炼,研究组在此基础上联合低频电疗法。比较两组患者拔除导尿管后的尿失禁发生率、尿垫使用情况、恢复期控尿率及生活质量变化。结果:研究组患者拔除导尿管即刻和拔管后1个月的尿失禁发生率及尿垫使用量均低于对照组(P<0.05);研究组患者术后1个月完全控尿率及拔管后3个月生活质量各维度评分均高于对照组(P<0.05)。结论:低频电疗法联合盆底肌锻炼可有效预防机器人辅助腹腔镜下根治性前列腺切除术患者尿失禁,减少尿垫使用量,提升术后控尿率,从而改善患者生活质量。Objective:To explore the effect of low-frequency electrotherapy combined with pelvic floor muscle exercise on the prevention of urinary incontinence in patients undergoing robot-assisted laparoscopic radical prostatectomy(RLRP).Methods:106 patients who underwent RLRP in Nanjing Drum Tower Hospital from January 2020 to January 2022 were selected and randomly divided into the control group(pelvic floor muscle exercise,n=53)and the study group(pelvic floor muscle exercise combined with low-frequency electrotherapy,n=53).The incidence of urinary incontinence,use of urinary pads,rate of urinary control during the recovery period,and the quality of life were compared between the two groups of patients after catheter removal.Results:The incidence of urinary incontinence and the use of urinary pads in the study group were lower than those in the control group at the immediate moment of catheter removal and 1 month later(P<0.05).The rate of complete urinary control at 1 month after surgery and the quality of life scores of each dimension at 3 months after catheter removal in the study group were higher than those in the control group(P<0.05).Conclusion:Low-frequency electrotherapy combined with pelvic floor muscle exercise can effectively prevent urinary incontinence in patients undergoing RLRP,reduce the use of urinary pads,and enhance the rate of postoperative urinary control,thus improving patients’quality of life.

关 键 词：低频电疗法 盆底肌锻炼 机器人辅助腹腔镜下根治性前列腺切除术 尿失禁 

分 类 号：R737.25[医药卫生—肿瘤]