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目的探讨生物反馈+盆底电刺激疗法对压力性尿失禁的治疗效果、影响疗效及复发的相关因素以及预后评价。方法 46例压力性尿失禁患者根据治疗意向随机进入前瞻性研究,其中绝经前患者19例,绝经患者27例。应用生物反馈+盆底电刺激治疗仪进行治疗,随访观察治疗效果。结果 46例中43例治疗有效,总有效率为93%,每次治疗平均时间为40 min。绝经前患者治疗4～30次,平均10次,显效时间为第1～10次,平均为第3.6次;绝经患者治疗6～30次,平均9.8次,显效时间为第1～10次,平均为第4.2次;不同体重指数(<24或≥24 kg/m~2)和尿失禁程度(轻、中、重)者治疗次数存在差异,但对疗效无显著性影响(P>0.05)。治疗后随访3～22个月,40例有完整随访资料,失访6例,9例患者治愈,4例生物反馈+盆底电刺激治疗有效者仍选择手术治疗,3例患者复发,复发患者主动接受再次生物反馈+盆底电刺激治疗,仍然有效。结论生物反馈+盆底电刺激疗法能够有效治疗压力性尿失禁,绝经与否,体重指数以及尿失禁程度均不影响疗效。
Objective To investigate the therapeutic effect of biofeedback and pelvic floor electrical stimulation on stress urinary incontinence, the factors influencing curative effect and relapse and the prognostic evaluation. Methods 46 patients with stress urinary incontinence were randomized into the prospective study according to the intent of treatment, including 19 premenopausal women and 27 menopausal women. Application of biological feedback + pelvic floor electrical stimulation treatment instrument for treatment, follow-up observation of the treatment effect. Results Of the 46 cases, 43 cases were effective and the total effective rate was 93%. The average time for each treatment was 40 minutes. Premenopausal patients treated 4 to 30 times, an average of 10 times, the effective time for the first 1 to 10 times, an average of 3.6 times; menopausal patients treated 6 to 30 times, an average of 9.8 times, the effective time for the first 10 times, the average Was 4.2 times; different body mass index (<24 or ≥ 24 kg / m ~ 2) and urinary incontinence (mild, moderate and severe) were different in the number of treatment, but no significant effect (P> 0.05). After treatment, the patients were followed up for 3 to 22 months. Forty patients had complete follow-up data, 6 patients were lost to follow-up, 9 patients were cured, and 4 patients with biofeedback and pelvic floor electrical stimulation were still selected for surgery. Three patients relapsed and relapsed Take the initiative to accept biological feedback + pelvic floor stimulation, still effective. Conclusions Biofeedback and pelvic floor electrical stimulation can effectively treat stress incontinence, menopause, body mass index and urinary incontinence.