盆底生物反馈电刺激治疗压力性尿失禁疗效观察

Efficacy of pelvic biofeedback and electronic stimulation in treatment of stress urinary incontinence

关键词:  压力性尿失禁  生物反馈  电刺激

Key words:  stress urinary incontinence  biofeedback  electric stimulation

摘要:

目的探讨盆底生物反馈＋电刺激疗法对压力性尿失禁的治疗效果及影响疗效的相关因素。方法回顾分析2006年12月至2010年5月间因压力性尿失禁行盆底生物反馈＋电刺激治疗患者，共13例，采用StimogynBIO2001型盆底治疗仪，随访观察治疗效果。结果13例患者经1个疗程治疗后，总有效率84．6％，治愈率53．8％。未绝经患者治疗有效率高于已绝经患者（100％w77．8％），SUII度患者治疗有效率高于SUI1I度患者（100％vs75％），盆底电刺激有反应型患者治疗有效率高于无反应患者（100％vs33．3％），无反应型患者治疗前、后肛提肌肌电值差异无统计学意义（P〉0．05）。结论盆底生物反馈＋电刺激能够有效治疗压力性尿失禁，但对盆底电刺激无反应型患者疗效不佳。

Abstract:

Objective To evaluate the efficacy of pelvic biofeedback and electric stimulation in treatment of stress urinary incontinence （SUI）. Methods Thirteen patients with stress urinary incontinence were treated with pelvic biofeedback and electric stimulation using Stimogyn BIt 2001 device from December 2006 to May 2010. The therapeutic efficacy was evaluated. Results The effective rate was 84.6% and cure rate was 54. 8% after one course of treatment. There was a higher effect rate in premenopausal patients than postmenopausal patients （ 100.0% vs 77.8% ）, in SUI I patients than SUI 11 patients （ 100.0% vs 75.0% ） and in patients with response to electric stimulation than patients without response （ 100. 0% vs 33.3% ）. There was no difference in levator ani muscle electromyography for non-response patients before and after treatment （ P 〉 0. 05 ）. Conclusion Pelvic biofeedback and electric stimulation is an effective treatment for SUI patients, except those without response to electric stimulation.