电针阴部神经刺激疗法治疗TVT术后失败患者的疗效观察

Therapeutic Effect of Electro-acupuncture Pudendal Nerve Stimulation Therapy on Failed TVT Procedures

目的:评价电针阴部神经刺激疗法治疗经阴道无张力尿道中段吊带术(TVT)术后失败患者的临床疗效。方法:33例TVT术后失败患者为研究对象,予以电针阴部神经刺激疗法治疗,穴位选取"骶四穴",治疗时间60 min/次,每周3次,治疗12次。记录治疗前、治疗结束时和随访时(治疗结束后1年)的症状积分、盆底肌肉能力评分并评定疗效及不良反应。结果:治疗前症状评分(11.96±4.78)与治疗结束时(2.77±3.78)、随访时(3.21±3.56)差异均有显著统计学意义(P<0.01);而治疗结束时与随访时症状评分差异无统计学意义(P>0.05)。治疗前盆底肌肉功能评分(57.91±11.49)与治疗结束时(85.18±6.68)、随访时(80.06±7.56)差异均有显著统计学意义(P<0.01);治疗结束时与随访时盆底肌肉功能差异有统计学意义(P<0.01)。治疗结束时临床有效率75.7%,随访时66.7%,差异无统计学意义(P>0.05)。结论:电针阴部神经刺激疗法治疗TVT术后失败患者的近、远期临床疗效皆良好,且无明显不良反应,可以作为TVT术后失败患者的补救治疗措施。

Objective： To assess the clinical effect of electro - acupuncture pudendal nerve stimulation therapy on failed TVT procedures. Methods： Thirty - three patients with stress urinary incontinence （SUI） who failed in TVT procedures were treated by electro - acupuncture pudendal nerve stimulation therapy . Four abdominal acu- points were selected,with 60 minutes once and three times a week for one month. The symptom scores and pel- vic floor muscle ability scores before treatment, after treatment and fullow - uP （ one - veer after treatment ）wererecorded and the clinical effect was assessed. And observe the side effects in the course of treatment. Results： There was a significant difference not only between before treatment and after treatment but also between before treatment and follow - up after treatment in symptom and pelvic floor muscle ability scores （ P 〈 0.01 ）. There was no significant difference between after treatment and follow - up in symptom scores （ P 〉 0.05 ） and signifi- cant difference in pelvic floor muscle ability scores （P 〈 0.01 ）. The effective rate was 75.7% after treatment and 66.7% when followed up, with no significant difference between them（P 〉 0.05 ）. Conclusion： Electro - acupuncture pudendal nerve stimulation therapy has preferably short -term and long -term therapeutic effects on failed TVT procedures, and it can be used as the remedial treatment measure for patients with failed TVT.