生物反馈电刺激盆底肌肉训练治疗慢性盆腔疼痛综合征

目的:探讨生物反馈电刺激盆底肌肉训练治疗慢性盆腔疼痛综合征的效果。方法:40例慢性盆腔疼痛综合征患者,治疗前后常规行前列腺液(EPS)、慢性前列腺炎症状评分(NIH-CPSI)和尿流动力学检查。使用生物反馈治疗仪进行盆底肌肉电刺激,每次20 min,每天1次,5次为1疗程。治疗结束后1月评价其治疗效果并追踪观察6月。结果:40例慢性盆腔疼痛综合征的患者治疗后最大尿流率(MFR)、平均尿流率(AFR)均上升(P<0.05),最大后尿道压(MPUP)、最大尿道闭合压(MUCP)均下降(P<0.05);治疗后NIH-CPSI评分降低(P<0.01),EPS中白细胞计数降低(P<0.01);治疗后疼痛消失21例,占52.5%;疼痛缓解16例,占40%;无效3例,占7.5%,有效率达92.5%。40例患者中有31例获得半年追踪,无一例症状复发。结论:生物反馈电刺激盆底肌肉训练治疗慢性盆腔疼痛综合征是一种有效的、治愈率较高的治疗方法。

Biofeedback Pelvic Muscles Exercise in Treatment of Chronic Pelvic Pain Syndrome

Objective: To investigate the effect of biofeedback pelvic muscles exercise in the treatment of chronic pelvic pain syndrome.Methods: Forty cases of chronic pain syndrome were selected for the treatment of biofeedback pelvic muscles exercise.The expressed prostatic secretions(EPS),NIH-CPSI and urodynamics before and after treatment were examined.Biofeedback stimulation device was used,for 20 minutes per section,five sections as one sequence. The results were analyzed after one month and followed up for six months.Results: After treatment,MFR and AFR were ascended(P<0.05);MPUP and MUCP were descended(P<0.05);the scores of NIH-CPSI were descended(P<0.01),and the numbers of WBC in EPS were descended(P<0.01).After the treatment,the rate of painlessness was 52.5%(21/40);the rate of pain alleviation was 40%(16/40);the nullity rate was(7.5%(3/40));the total efficency rate was 92.5%.Thirty-one cases were followed up for 6 months and no one recurred.Conclusion: Biofeedback pelvic muscles exercise is a safe and effective way in the treatment of chronic pelvic pain syndrome.