Geissbühler Verena
Bethesda Spital, Basel.
Ther Umsch. 2010 Jan;67(1):27-30. doi: 10.1024/0040-5930/a000006.
Conservative treatments are easy to handle, have no side effects and no negative effects concerning later surgical treatments and are not expensive. Therefore conservative treatments should be the first line therapies for pelvic floor disorders. The following treatment options are used: lifestyle interventions, bladder training, use of pessaries, pelvic floor muscle training, pharmacologic treatment, incontinence aids/products and complementary medicine. Important for the success of these treatments are motivation and patience of the patient as well a good team consisting of doctors, specialised nurses and physiotherapists. Usually all these treatments are combined. The success rate is between 40-70 %. Pessaries are the best choice for immediate relief of urinary stress incontinence and for reducing a prolapse.
保守治疗操作简便，无副作用，对后续手术治疗无负面影响，且费用不高。因此，保守治疗应作为盆底功能障碍的一线治疗方法。可采用以下治疗方案：生活方式干预、膀胱训练、子宫托使用、盆底肌肉训练、药物治疗、失禁辅助器具/产品及补充替代医学。这些治疗成功的关键在于患者的积极性和耐心，以及由医生、专科护士和物理治疗师组成的优秀团队。通常这些治疗方法会联合使用。成功率在40%-70%之间。子宫托是立即缓解压力性尿失禁和减轻脱垂的最佳选择。
