新型射频治疗女性压力性尿失禁的疗效分析

Efficacy of new radiofrequency in the treatment of female stress urinary incontinence

目的研究新型射频治疗女性轻、中度压力性尿失禁的疗效分析。方法回顾性分析本院2019年10月-12月门诊就诊的SUI女性患者42例行新型射频治疗女性轻、中度压力性尿失禁的临床资料。其中轻度尿失禁32例,中度尿失禁10例,年龄(48.51±4.13)岁,且均已生育,治疗前行国际尿失禁咨询委员会尿失禁问卷(ICI-Q-SF)评分(6(4-8)分)、尿垫试验(8.23±2.23ml)及白带常规、尿常规等检查均无异常,治疗选用新型射频(每次治疗需25分钟,每间隔10-14天进行一次操作,5次一个疗程。),1次治疗疗程完成后1个月、3个月随访ICI-Q-SF评分、尿垫试验、满意度问卷调查以及尿失禁再次分级,观察其治疗效果。结果42例患者治疗后1个月、3个月的尿垫试验分别是2.23±0.31ml、1.5±0.34ml,与治疗前比较,差异有统计学意义(P<0.05),治疗后1个月与治疗后3个月比较,差异无统计学意义(P>0.05)。治疗后1个月、3个月ICI-Q-SF评分分别是3(1-4)分、3(0-4)分,与治疗前比较,差异有统计学意义(P<0.05),治疗后1个月与治疗后3个月比较,差异无统计学意义(P>0.05)。治疗后1个月32例轻度尿失禁患者中12例无明显漏尿,10例中度尿失禁患者中有50%的患者症状缓解,并由中度转为轻度尿失禁,总体来看,治疗1个月后,12名患者的症状有所改善,总有效率为40.47%。治疗3个月后,26例患者症状明显缓解,有效率达到61.9%。结论新型射频治疗治疗女性轻、中度压力性尿失禁效果显著,漏尿情况明显好转,未见明显严重并发症。

Objective To study the therapeutic effect of New radiofrequency technology in the treatment of female mild and moderate stress urinary incontinence.Methods A retrospective analysis of the clinical data of 42 female patients with SUI treated by New radio frequency technology in our hospital from October to December 2019.There were 32 cases of mild urinary incontinence,10 cases of moderate urinary incontinence,age 48.51±4.13 years old,and all of them had given birth.Score of urinary incontinence questionnaire of international urinary incontinence Advisory Committee before treatment:6(4-8),urine pad test(8.23±2.23 ml)and there was no abnormality in the routine examination of leucorrhea and urine.New radio frequency technology was used for treatment(25 minutes for each treatment,10 minutes for each interval)-Operation once in 14 days and treatment course once in 5 days.)One month and three months after the first course of treatment,we followed up ICI-Q-SF score,urinary pad test,satisfaction questionnaire survey and urinary incontinence re classification to observe the therapeutic effect.Results The urine pad test of 42 patients was 2.23±0.31 ml and 1.5±0.34 ml at one month and three months after treatment,respectively,which was statistically significant compared with that before treatment(P<0.05).There was no significant difference between one month and three months after treatment(P>0.05).The scores of ICI-Q-SF were 3(1-4)and 3(0-4)at 1 and 3 months after treatment,respectively,which were statistically signiffcant compared with those before treatment(P<0.05).There was no significant difference between 1 and 3 months after treatment(P>0.05).One month after treatment,12 of 32 patients with mild incontinence had no significant leakage of urine,and 5 of 10 patients with moderate incontinence were reduced to mild incontinence,with an effective rate of 40.47%(17/42).After 3 months of treatment,26 of42 patients with urinary incontinence were degraded or no leakage,and the effective rate was 61.9%(26/42).Conclusion The effect of New radiofrequency technology in the treatment of female mild and moderate stress urinary incontinence is significant,the leakage of urine is obviously improved,and no significant serious complications are found.