微电刺激仪在治疗妇女尿失禁之临床应用  

The Clinical Applications of Electrical Muscle Stimulator to Female Urinary Incontinence

作　　者：林志商[1] 项平[1] 陈黎明[2] 郑仁荣 靳凤烁[4] 蔡笃俊 

机构地区：[1]南京中医药大学.医学研究所 [2]国立成功大学.环境医学研究所 [3]台北县立板桥综合医院.妇产科 [4]第三军医大学大坪医院.泌尿外科,重庆市400042 [5]台湾区域发展研究院.医疗科技研究所

出　　处：《医疗装备》2003年第5期25-29,共5页Medical Equipment

摘　　要：本文旨在说明电刺激治疗仪在治疗妇女应力性尿失禁、逼尿肌不稳定及混合型尿失禁 ,可获得良好的效果。经由置放在阴道内的电极探头 ,透过主机的微电流能量的调控 ,间歇式地刺激在骨盆底肌内的会阴神经 (pudendalnerve)系统。在逼尿肌不稳定的病患 ,经由反射作用抑制膀胱不自主的收缩。而在真应力尿失禁病患 ,则是使阴部运动纤维之运动神经元 (motorneuron)细胞产生急剧的动作电位 ,加速传导至尿道横纹肌之肌肉组织 ,而增加了尿道闭锁的压力 ,阻止了尿液渗漏和失禁 。The paper explains the clinical application of the electrical muscle stimulator for female urinary incontinence. The electrical muscle stimulator shows its treatment effects in genuine stress incontinence, detrusor instability, urge incontinence and mixed incontinence. An electrode probe is placed in the vagina, and electrical current is delivered to stimulate the pudendal nerve intermittently. In detrusor instability, the pelvic floor stimulation (PFS) depresses or eliminates the uninhibited bladder contractions through the pudendal to pelvic nerve reflex. In genuine stress incontinence, the stimulation activates pelvic muscle contractions through pudendal to pudendal nerve reflex (known as anal wink reflex). The stimulation speeds up the bladder's inhibited action (in detrusor instability) and induces a motion potential of the motor neuron (in genuine stress incontinence). This motion potential transmits to the striated muscles of the urethra and raises the closure pressure of the urethra. The result prevents and treats the urinary incontinence. Such a treatment helps the patients to improve their life quality and even sexual life.

关 键 词：微电刺激仪 治疗 妇女 尿失禁 临床应用 电极探头 微电流 

分 类 号：R694.54[医药卫生—泌尿科学] R318.6[医药卫生—外科学]