生物反馈和电刺激治疗女性压力性尿失禁

Clinical Analysis of Stress Urinary Incontinence Treated with Bio-feedback and Pelvic Electronic Stimulation

目的探讨生物反馈结合盆底电刺激治疗压力性尿失禁的治疗方案及疗效。方法28例压力性尿失禁患者随机进入前瞻性研究,应用生物反馈和盆底电刺激治疗仪进行治疗,制定适宜的治疗方案,随访观察治疗效果。结果28例患者,17例患者治疗后无漏尿,9例患者尿失禁程度减轻,2例患者认为无效。28例患者总满意率达86%。治疗后VLPP、MCC、Pdet.Qmax、MCP的增加显著高于治疗前,MFR、BC及SFL治疗前后无显著差异。结论生物反馈及盆底电刺激疗法能够有效治疗压力性尿失禁,同时应强调个体化的治疗原则及患者主动参与治疗。

Objective To investigate clinical treatment procedures and benefits of stress incontinence with bio - feedback and pelvic electric stimulation. Methods Total 28 patients with stress incontinence were treated with bio -feedback and pelvic electric stimulation therapy. Treatment procedures and benefits were observed. Results 17 patients were healed, the symptom of urinary stress incontinence was lessened in 9 patients, and 2 patients feeled nullity after treatment. 86 percent out of 28 patients were satisfied with treatments. The increments of VLPP, MCC, Pdet · Qmax and MCP of the patients after treatment prominencely increased than that before treatment, but for MFR, BC and SFL, there was no distinctions in them between before treatment and after treatment. Conclusion Stress incontinence patients could be treated by bio - feedback and pelvic electric stimulation treatment. Active participating in the procedure and individual treating projects was the most important for the patients.