电刺激盆底肌治疗女性真性压力性尿失禁效果及尿动力学变化

目的:观察电刺激盆底肌治疗女性真性压力性尿失禁(GSI)效果及尿动力学变化.方法:35例GSI女性患者,使用神经肌肉电刺激治疗仪行盆底肌电刺激治疗.每周3次,疗程12周.治疗前、后分别记录排尿日记,填写国际尿失禁咨询委员会问卷简表(ICI-Q-SF),并进行尿动力学测定.结果:18例(51%)白天尿失禁症状消失,12例(35%)明显改善,5例(14%)无改善.治疗后总排尿次数、总漏尿事件次数和ICI-Q-SF评分显著低于治疗前,功能性膀胱容量显著高于治疗前(P＜0.05);尿动力学检查显示治疗后valsalva漏尿点压、最大尿道压和最大尿道闭合压显著高于治疗前(P＜0.05).结论:神经肌肉电刺激治疗仪可用于治疗女性真性压力性尿失禁,尿动力学检查是评估其疗效的重要方法.

Therapeutic effects and urodynamic changes of patients with genuine stress urinary incontinence after pelvic floor electrical stimulation

Aim: To observe the short term effects of pelvic floor electrical stimulation and urodynamic changes in the women with genuine stress incontinence(GSI). Methods: Pelvic floor electrical stimulation was performed on 35 women with GSI three times a week for three months using the NeuroTrac TM ETS and skin surface electrodes.Urinary diary, the score of international continence inquiring committee's questionnaire (ICI-Q-SF) and urodynamics evaluation before and after treatment were recorded. Results: The daytime incontinence disappeared in 18 cases (51%), improved in 12 cases (35%), and 5 cases(14%)did not improved after treatment. In the improved group, functional capacity, Valsalva leak point pressure, maximum urethral pressure and maximum urethral closure pressure were significantly higher than those before treatment (P< 0.05); total frequency of voiding (72 h), leakage (72 h) and the scores of ICI-Q-SF significantly lower than those before treatment (P<0.05).Conclusion: Pelvic floor electrical stimulation is a useful therapy to treat women with GSI.