摘要
目的:探讨经阴道二氧化碳(CO_(2))激光治疗压力性尿失禁(SUI)患者的效果及对阴道健康的影响。方法:选取2020年5月至2021年5月该院收治的109例SUI患者进行前瞻性研究,按照随机数字表法分为对照组(n=54)和观察组(n=55)。两组患者均行盆底肌肉康复训练,对照组在此基础上采用神经肌肉电刺激治疗,观察组在对照组基础上加用经阴道CO_(2)激光治疗。比较两组临床疗效、治疗前后尿失禁[国际尿失禁咨询委员会尿失禁问卷表(ICI-Q-SF)]评分、膀胱超声参数(膀胱颈活动度和膀胱尿道后角)和阴道健康情况。结果:观察组治疗总有效率为87.27%(48/55),高于对照组的70.37%(38/54),差异有统计学意义(P<0.05);治疗后,观察组漏尿量、漏尿频率、对生活的不良影响评分及ICI-Q-SF总分均显著低于对照组,膀胱颈活动度和膀胱尿道后角均显著小于对照组,差异有统计学意义(P<0.05);治疗后,两组阴道弹性、阴道上皮完整性、阴道润滑度、阴道分泌物量及pH值评分均高于治疗前,且观察组高于对照组,差异有统计学意义(P<0.05)。结论:经阴道CO_(2)激光联合神经肌肉电刺激治疗SUI患者效果良好,能明显减轻尿失禁症状,改善膀胱功能,改善阴道健康情况。
Objective:To explore effects of transvaginal carbon dioxide(CO_(2))laser on stress urinary incontinence(SUI)and its influence on vaginal health.Methods:A prospective study was conducted on 109 patients with SUI admitted to this hospital from May 2020 to May 2021.According to the random number table method,they were divided into control group(n=54)and observation group(n=55).Both groups underwent pelvic floor muscle rehabilitation training.On this basis,the control group was treated with neuromuscular electrical stimulation,while the observation group was treated with transvaginal CO_(2)laser on the basis of that of the control group.The clinical efficacy,the urinary incontinence[international incontinence advisory committee urinary incontinence questionnaire-short form(ICI-Q-SF)]score,the bladder ultrasound parameters(bladder neck mobility,retrovesical angle),and the vaginal health were compared between the two groups before and after the treatment.Results:The total effective rate of the observation group was 87.27%(48/55),which was higher than 70.37%(38/54)of the control group,and the difference was statistically significant(P<0.05).After the treatment,the amount of urine leakage,the frequency of urine leakage,the score of adverse effects on life and the total score of ICI-Q-SF in the observation group were significantly lower than those in the control group;the bladder neck mobility and the retrovesical angle were significantly smaller than the control group;and the differences were statistically significant(P<0.05).Further,after the treatment,the scores of vaginal elasticity,vaginal epithelial integrity,vaginal lubrication,vaginal secretion volume and pH value in the two groups were higher than those before the treatment,the scores in the observation group were significantly higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusions:Transvaginal CO_(2)laser combined with neuromuscular electrical stimulation in the treatment of SUI is effective,which can significantly reduce the symptoms of urinary incontinence,improve the bladder function and improve the vaginal health.
作者
牛锦华
NIU Jinhua(Department of Gynecology of Zhongyi Northeast International Hospital Co.,Ltd,Shenyang 110161 Liaoning,China)
出处
《中国民康医学》
2022年第20期52-55,共4页
Medical Journal of Chinese People’s Health
关键词
二氧化碳激光
压力性尿失禁
膀胱超声
阴道健康
神经肌肉电刺激
Carbon dioxide laser
Stress urinary incontinence
Bladder ultrasound
Vaginal health
Neuromuscular electrical stimulation
