盆底肌肉功能锻炼与手术治疗女性中度压力性尿失禁的比较研究

目的比较观察盆底肌肉功能锻炼与手术治疗女性中度压力性尿失禁（SUI）的临床疗效，为寻找合适的治疗方法提供理论参考。方法将114例中度SUI患者随机分为治疗组58例和对照组56例。对照组采用经闭孔阴道无张力吊带术（TVT-O）治疗，治疗组采用盆底肌肉功能锻炼治疗。连续治疗12周后评价临床疗效和生活质量，进行成本／效益分析。结果治疗组临床疗效总有效率为86．2％，高于对照组的83．9％。治疗后2组患者的生活质量得分与治疗前比较显著上升，尿失禁问卷得分与治疗前比较显著下降，且治疗组与对照组之间有差异。成本／效益分析表明，治疗组患者的医疗总成本、临床总有效率每增长一个百分点需要花费的成本和生活质量增长1分需要花费的成本均显著低于对照组。结论盆底肌肉功能锻炼是中度女性SUI患者的首选治疗方法，应当推广和应用。

Comparative study of pelvic floor muscle exercise and surgical therapy in women with moderate stress urinary incontinence

Objective To study comparatively the clinical efficacy of pelvic floor muscle exercise （PFME） and surgical therapy in women with moderate stress urinary incontinence （SUI）, in order to provide theoretical reference for finding an appropriate SUI treatment method. Methods 114 cases of women with moderate SUI were randomly divided into the treatment group and the control group. The control group was given surgical therapy, while the treatment group was given the PFME treatment. After 12 weeks the clinical emcacy and quality of life of the two groups were evaluated, the cost-benefit was analyzed. Results The total effective rate of treatment group was 86.2%, higher than 83.9% of the control group. Compared with before treatment, the I-QOL scores of the two groups increased significantly, the ICIQ scores of the two groups decreased significantly, and the treatment group was significantly different compared with the control group. The cost-benefit analysis showed that the total medical cost and the spending cost of the total clinical effective rate increased 1 percent and the I-QOL increased 1 score were significantly lower than that of the control group.. Conclusions The PFME therapy of women with moderate SUI is the preferred treatment and it is worthy of promotion and application.