盆底康复治疗子宫全切术后女性压力性尿失禁的疗效观察

发布时间：2018-04-22 14:04

本文选题：盆底康复治疗 + 压力性尿失禁　；参考：《中国性科学》2016年10期

【摘要】：目的:从尿动力学的角度探讨盆底康复治疗对子宫全切术后出现压力性尿失禁的患者的疗效。方法:选取2011年1月至2014年12月间我院妇产科门诊收治的因妇科非脱垂良性疾病行子宫全切术治疗后出现压力性尿失禁的30例患者进行研究,所有患者均给予电刺激+生物反馈+阴道哑铃训练的盆底康复方法进行治疗,治疗结束后6个月随访。所有患者治疗前后均进行尿动力学检查,记录3d排尿日记,并填写国际尿失禁咨询委员会尿失禁问卷简表(ICI-Q-SF)。治疗结束后分析有效率,并比较治疗前后患者的尿动力学指标最大膀胱容量(MCC)、最大尿道压(MUP)、最大尿道闭合压(MUCP)、功能性尿道长度(SFL)、腹压漏尿点压(ALPP)的变化,并进行统计学分析。结果:子宫全切术后压力性尿失禁的患者进行电刺激+生物反馈+阴道哑铃训练的盆底康复方法进行治疗后,有效率高达90%,MCC治疗前后没有明显的改变,但是治疗后患者MUP、MUCP、SFL以及ALPP均明显高于治疗前,P0.05,差异具有统计学意义。结论:电刺激+生物反馈+阴道哑铃训练的盆底康复疗法治疗子宫全切术后压力性尿失禁,效果明显,患者控尿能力明显提高,值得临床推广。
[Abstract]:Objective: to evaluate the effect of pelvic floor rehabilitation on patients with stress urinary incontinence after hysterectomy. Methods: from January 2011 to December 2014, 30 patients with stress urinary incontinence after hysterectomy for benign gynecological diseases were studied. All patients were treated with the pelvic floor rehabilitation method of biofeedback vaginal dumbbell training and followed up 6 months after the treatment. All the patients underwent urodynamic examination before and after treatment, and recorded the urinary diaries for 3 days, and filled out the ICI-Q-SFU form of urinary incontinence questionnaire of the International urinary incontinence Advisory Committee. After treatment, the effective rate was analyzed, and the changes of maximum bladder volume (MCCV), maximum urethral pressure (MUPN), maximum urethral closure pressure (MUCPN), functional urethral length (SFL), abdominal pressure at the point of leakage (ALPP) were compared before and after treatment. Results: the effective rate of pelvic floor rehabilitation in patients with stress urinary incontinence after hysterectomy was as high as 90% before and after treatment. But after treatment, MUPU MUCPS SFL and ALPP were significantly higher than those before treatment (P 0.05), the difference was statistically significant. Conclusion: the pelvic floor rehabilitation therapy with electrical stimulation and biofeedback vaginal dumbbell training for stress urinary incontinence after hysterectomy is effective, and the patients' ability of urinary control is obviously improved, which is worth popularizing clinically.
【作者单位】：武汉大学人民医院妇产科;
【分类号】：R695.1

【相似文献】