[经阴道电刺激治疗单纯性真性压力性尿失禁的前瞻性评估]
[Prospective evaluation of an intravaginal electrical stimulation in the treatment of women with pure genuine stress urinary incontinence].
作者信息
Chêne G, Mansoor A, Jacquetin B, Mellier G, Douvier S, Sergent F, Aubard Y, Seffert P
机构信息
Département de gynécologie-obstétrique, hôpital Nord, université Jean-Monnet, CHU de Saint-Étienne, avenue Albert-Raimond, 42023 Saint-Étienne, France.
出版信息
Gynecol Obstet Fertil. 2012 Jun;40(6):350-5. doi: 10.1016/j.gyobfe.2012.02.010. Epub 2012 Apr 6.
OBJECTIVES
To study the objective and subjective effectiveness of transvaginal electrical stimulation for treatment of female pure genuine stress incontinence.
PATIENTS AND METHODS
This was a multicenter prospective trial including 207 patients with genuine stress incontinence who used the stimulator for 10 weeks. Similar pre-treatment and post-treatment assessments included both validated symptom severity index and health-related quality of life.
RESULTS
Objective evaluation showed a significant improvement in 65.7% of subjects with stress incontinence. All domains of quality of life improved significantly after treatment (P=0.0001) and rate of satisfactory was 84.7%. There were no statistical differences between the two stimulators.
DISCUSSION AND CONCLUSION
Pelvic floor electrical stimulation seems to be effective in treating female genuine stress incontinence and could be considered first-line therapy.
目的
研究经阴道电刺激治疗女性单纯性真性压力性尿失禁的客观和主观疗效。
患者与方法
这是一项多中心前瞻性试验，纳入207例真性压力性尿失禁患者，使用刺激器治疗10周。治疗前后进行类似的评估，包括经过验证的症状严重程度指数和与健康相关的生活质量。
结果
客观评估显示，65.7%的压力性尿失禁受试者有显著改善。治疗后生活质量的所有领域均有显著改善（P = 0.0001），满意率为84.7%。两种刺激器之间无统计学差异。
讨论与结论
盆底电刺激似乎对治疗女性真性压力性尿失禁有效，可被视为一线治疗方法。
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