盆底肌电刺激治疗储尿期功能障碍疗效分析

Therapeutic effects of pelvic floor electrical stimulation on patients with urinary storage dysfunctions

目的 以盆底肌电刺激治疗储尿期功能障碍患者 ,并了解其治疗效果。方法 临床收治 12例储尿期功能障碍患者 ,以盆底肌电刺激器对其进行盆底肌群的电刺激治疗 ,观察其治疗前后主观症状及尿动力学检查变化。结果 盆底肌电刺激后 72h排尿次数由 ( 3 9.3 3± 8.5 5 )次减为 ( 2 9.75± 6.76)次 ,单次尿量由 ( 112 .67± 40 .5 5 )ml增至 ( 14 3 .3 1±11.97)ml,尿动力学检查见膀胱容量由 ( 2 78.10± 5 9.2 0 )ml增至 ( 3 17.10± 46.5 0 )ml及尿道控制带长度由 ( 2 .81± 0 .75 )cm增至 ( 3 17± 0 90 )cm。结论 盆底肌电刺激可明显抑制膀胱逼尿肌活动 ,并延长尿道控制带长度 ,对储尿期功能障碍患者有较好疗效。

Objective To investigate the therapeutic efficacy of pelvic floor electrical stimulation on patients with urinary storage dysfunctions. Methods Pelvic floor electrical stimulation was performed on 12 patients with urinary storage dysfunctions. Changes of the subjective symptoms and urodynamic changes before and after treatment with stimulation were observed. Results At 72 h after pelvic floor electrical stimulation, the times of voiding reduced significantly from 39.33±8.55 to 29.75±6.76 times, and the voiding volume per time increased significantly from 112.67±40.55 to 143.31±11.9 ml. Urodynamic examination revealed that the bladder capacity increased significantly from 278.10±59.20 to 317.10±46.50 ml and the length of urethral continence increased significantly FROM 2.81±0.75 TO 3.17±0.90 cm as well. Conclusion Pelvic floor electrical stimulation which can significantly inhibit the activity of the detrusor and lengthen the urethral continence has satisfactory therapeutic efficacy on patients with urinary storage dysfunctions.