CO_(2)激光治疗轻中度压力性尿失禁的临床疗效

Clinical effect of CO_(2)laser on mild to moderate stress urinary incontinence

目的探讨CO_(2)激光治疗轻中度压力性尿失禁(SUI)的临床效果。方法选取97例接受CO_(2)激光治疗的轻中度SUI患者,采用Ingelman-Sundberg分度法对患者临床症状主观分度,分为轻度SUI组(74例)与中度SUI组(23例)。采用视觉模拟评分法(VAS)、尿失禁影响问卷简表(ⅡQ-7)对两组患者在接受CO_(2)激光治疗前后的主观疗效进行评价。结果97例SUI患者治疗前ⅡQ-7评分比较差异具有统计学意义(t=4.561,P=0.000);97例SUI患者VAS评分>5分占82.47%,其中轻度SUI组占83.78%,中度SUI组占78.26%;两组患者治疗前ⅡQ-7评分比较差异具有统计学意义(t=3.596,P=0.002),治疗后两组ⅡQ-7评分差异无统计学意义(t=1.571,P=0.116),两组组内治疗前后比较差异具有统计学意义(P<0.05);两组治疗后临床疗效比较差异无统计学意义(Z=1.071,P=1.640)。结论CO_(2)激光治疗轻中度SUI临床疗效显著,对未达到手术干预指征或者抗拒手术治疗的女性患者来说是一种可选用的保守方法,值得推广。

Objective To investigate the clinical effect of CO_(2)laser treatment for mild to moderate stress urinary incontinence(SUI).Methods 97 patients with mild and moderate SUI who received CO_(2)laser therapy were selected and subjective clinical symptoms were divided into mild SUI group(74 cases)and moderate SUI group(23 cases)by Ingelman-Sxindberg scale.Visual analog scale(VAS)and urinary incontinence Impact Questionnaire(ⅡQ7)were used to evaluate the subjective efficacy of the two groups of patients before and after CO_(2)laser therapy.Results The difference of ⅡQ-7 scores in 97 patients with SUI before treatment was statistically significant(Z=4.561,P=0.000).VAS scores of 97 patients with SUI were higher than 5(82.47%),including 83.78%in the mild SUI group and 78.26%in the moderate SUI group.Before treatment,there was a statistically significant difference in ⅡQ-7 scores between the two groups(t=3.596,P=0.002),but after treatment,there was no statistically significant difference in ⅡQ-7 scores between the two groups(Z=1.571,P=0.116),and there was a statistically significant difference before and after treatment between the two groups(P<0.05).There was no significant difference in clinical efficacy between the two groups after treatment(Z=1.071,P=1.640).Conclusion CO_(2)laser therapy for mild and moderate SUI has significant clinical efficacy,which is an optional conservative method for female patients who do not meet the indications of surgical intervention or resist surgical treatment,and is worth promoting.