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目的初步观察电刺激疗法治疗青少年女性特发性急迫性尿失禁(UUI)的近期疗效。方法选取经临床和尿动力学检查证实为特发性急迫性尿失禁26例女性患儿(年龄10~18岁,平均14±2岁)。使用神经肌肉电刺激治疗仪(NeuroTrac5TM)治疗,每周3次,每次60min,疗程12周。治疗前后分别记录排尿日记、填写国际尿失禁咨询委员会尿失禁问卷简表(ICI-Q-SF)和进行尿动力学测定。结果治疗12周后,11例(42.3%)尿失禁症状消失,12例(46.2%)尿失禁症状显著改善,3例(11.5%)症状无改善。症状消失和改善患儿治疗后72h总尿量、功能性膀胱容量、正常尿意膀胱压测定容量、最大膀胱压测定容量、最大尿道压和最大尿道闭合压显著高于治疗前(P<0.05);72h总排尿次数、72h总漏尿次数、尿失禁ICI-Q-SF评分和逼尿肌无抑制收缩压力和逼尿肌无抑制收缩持续时间显著低于治疗前(P<0.05)。结论应用电刺激疗法治疗青少年女性UUI近期疗效明显,具有疗效可靠、无创伤性和经济方便的优点。
Objective To observe the short-term efficacy of electrical stimulation therapy for adolescent idiopathic urgency urinary incontinence (UUI). Methods Twenty-six female patients (aged 10-18 years, mean age 14 ± 2 years) with idiopathic urge incontinence confirmed by clinical and urodynamic tests were selected. Treatment with NeuroTrac5TM was performed three times a week for 60 minutes each for 12 weeks. Urine diaries were recorded before and after treatment. The ICI-Q-SF questionnaire was completed and urodynamic studies were performed. Results After 12 weeks of treatment, the symptoms of urinary incontinence disappeared in 11 cases (42.3%), the incontinence symptoms in 12 cases (46.2%) were significantly improved, and the symptoms in 3 cases (11.5%) were not improved. Symptoms disappeared and improvement of total urinary volume, functional bladder capacity, measured urinary bladder pressure, measured maximal bladder pressure, maximum urethral pressure and maximum urethral closure pressure at 72h after treatment were significantly higher than those before treatment (P <0.05). 72h total urination frequency, 72h total urinary incontinence, urinary incontinence ICI-Q-SF score and uninhibited systolic pressure of detrusor and uninhibited systolic duration of detrusor were significantly lower than those before treatment (P <0.05). Conclusion The application of electro-stimulation therapy in the treatment of adolescent female UUI has obvious curative effect in the near future and has the advantages of reliable curative effect, non-invasiveness and economic convenience.