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目的观察经闭孔尿道中段悬吊术联合康复锻炼治疗女性压力性尿失禁的临床疗效。方法将219例压力性尿失禁患者根据随机原则分为治疗组110例和对照组109例。治疗组给予经闭孔尿道中段悬吊术治疗,术后给予膀胱功能和盆底肌康复锻炼,对照组单纯予康复锻炼,方法同治疗组。观察2组临床疗效。结果治疗组总有效率为94.5%高于对照组的67.9%,差异有统计学意义(P<0.01)。结论经闭孔尿道中段悬吊术联合康复锻炼治疗女性压力性尿失禁临床效果显著,可明显改善患者膀胱和盆底肌功能,改善尿失禁症状,可在临床推广应用。
Objective To observe the clinical effect of transobturator mid-urethral suspension combined with rehabilitation exercise on female stress urinary incontinence. Methods A total of 219 stress urinary incontinence patients were divided into treatment group (n = 110) and control group (n = 109) according to the randomized principle. The treatment group was given the middle of the closed-cell urethral suspension surgery, postoperative bladder function and pelvic floor muscle rehabilitation exercise, the control group simply to rehabilitation exercise, with the treatment group. Two groups were observed. Results The total effective rate of the treatment group was 94.5% higher than 67.9% of the control group, the difference was statistically significant (P <0.01). CONCLUSIONS: The clinical effect of trans-obturator mid-urethral suspension combined with rehabilitation exercise in the treatment of female stress urinary incontinence is significant. It can significantly improve bladder and pelvic floor muscle function and improve the symptoms of urinary incontinence. It can be widely used clinically.