盆底生物反馈联合民刺激及盆低功能锻炼治疗女性压力性尿失禁

目的：探讨联合保守治疗女性压力性尿失禁（SUI）的临床效果以及盆底肌表面肌电压作为疗效评价的应用价值。方法：对79例SUI女性进行盆底生物反馈联合电刺激及盆底肌锻炼治疗。比较治疗前后盆底肌表面肌电检测、SUI症状变化情况。结果：轻、中度SUI患者组内治疗前后盆底肌电值比较差异均有统计学意义（P＜0.01），但2组患者治疗前后盆底肌肉肌电值差值比较差异无统计学意义（P＞0.05）。3个月后随访总有效率81.0%，轻度和中度SUI组有效率差异无统计学意义（P＞0.05）。结论：盆底生物反馈联合电刺激及盆底肌锻炼治疗女性SUI无创、有效。盆底肌表面肌电压检测作为疗效评价指标有一定的应用价值。

Treatment of Female SUI with Pelvic Floor Muscle Training Combined with Biofeedback and Electrical Stimulation

Objective：To assess the clinical effectiveness of the conservative treatment of female stress urinary incontinence （SUI） with the pelvic floor muscle training（PFMT） combined with biofeedback and electrical stimulation （ ES ） , and the application of the surface electromyography on the pelvic floor muscles in clinical practice. Methods：79 patients with SUI were treated with the PFMT combined with biofeedback and ES. The surface electromyography and clinical symptoms were observed after treatment. Results：There were significant improvement in the surface electromyography after treatment （P〈0.01）,while the changed levels after treatment in the mild incontinence group and in the moderate incontinence group were coincident （P〉0.05）. Total effective rate was 81.0% after 3 months follow-up, while the effective rates the mild incontinence group and the moderate incontinence group were similar （P〉0.05）. Conclusions：PFMT combined with biofeedback and EI is noninvasive and effective in treatment of female SUI, and the surface electromyography was a useful test to assess the curative effect.