射频治疗阴道前壁脱垂伴压力性尿失禁的疗效分析

  目的   研究射频治疗对阴道前壁脱垂伴SUI的治疗效果。  方法   分析在昆明市妇幼保健院就诊的阴道前壁脱垂Ⅰ°～Ⅱ°伴SUI患者 37 例行射频治疗前后的临床资料。对患者进行射频治疗（每次50 min,5次为一个疗程）,1个疗程后对患者进行1月、3月随访,采用盆底障碍影响简易问卷 7（PFIQ-7）、盆腔脏器脱垂/尿失禁性功能问卷（PISQ-12）、盆底肌肌力等级评价疗效。  结果  患者治疗后 Aa 、Ba点POP-Q评分均优于治疗前 ,差异均有统计学意义（P < 0.05 ）,患者治疗后1个月 、3个月 PFDI-12 、 PFIQ-7 评分与治疗前比较均明显降低,差异均有统计学意义（P < 0.05 ）;76.4%患者盆底肌肌力恢复至3级以上。  结论  射频在治疗阴道前壁脱垂Ⅰ°～Ⅱ°伴SUI方面,具有显著的临床疗效。

Analysis of the Efficacy of Radiofrequency Treatment for Anterior Vaginal Wall Prolapse with Stress Urinary Incontinence

  Objective  To study the effect of radiofrequency therapy on anterior vaginal wall prolapse with SUI.   Methods  Clinical data of 37 patients with I-II degree of anterior vaginal wall prolapse with SUI in Kunming Maternal and Child Health Hospital were analyzed. The patients were treated with radiofrequency therapy （50 minutes each time, 5 times for one course of treatment）, and were followed in January and March later. The simple impact questionnaire on pelvic floor disorders 7 （PFIQ-7）, pelvic organ prolapse/incontinence function questionnaire （PISQ-12）, and pelvic floor muscle strength grade were evaluated.   Results  POP-Q scores of Aa and Ba were better than before treatment, the difference was significant （P < 0.05）, PFDI-12, PFIQ-7 scores and before treatment, （P < 0.05）; 76.4% had pelvic floor muscle strength above grade 3.   Conclusion  RF has significant clinical efficacy in the treatment of anterior vaginal wall prolapse I-with SUI.