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3特斯拉功能性磁刺激治疗女性尿失禁的疗效

Efficacy of 3 Tesla Functional Magnetic Stimulation for the Treatment of Female Urinary Incontinence.

作者信息

Braga Andrea, Castronovo Fabiana, Caccia Giorgio, Papadia Andrea, Regusci Luca, Torella Marco, Salvatore Stefano, Scancarello Chiara, Ghezzi Fabio, Serati Maurizio

机构信息

Department of Obstetrics and Gynecology, EOC-Beata Vergine Hospital, 6850 Mendrisio, Switzerland.

Faculty of Biomedical Sciences, Università della Svizzera Italiana, 6900 Lugano, Switzerland.

出版信息

J Clin Med. 2022 May 16;11(10):2805. doi: 10.3390/jcm11102805.

DOI:10.3390/jcm11102805
PMID:35628930
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9145499/
Abstract

Functional magnetic stimulation (FMS) is a new technique for the conservative treatment of Urinary incontinence (UI), based on magnetic induction. It induces controlled depolarization of the nerves, resulting in pelvic muscle contraction and sacral S2-S4 roots neuromodulation. The aim of this study was to assess the efficacy of the new 3 Tesla FMS chair, both in patients with pure stress urinary incontinence (SUI) and in women with pure overactive bladder (OAB) symptoms. A prospective observational study was conducted in our urogynaecologic unit. All the patients involved were consecutive women with pure SUI or pure OAB symptoms treated by a 3 Tesla electromagnetic chair. The primary outcome was a subjective outcome evaluation by the PGI-I Scale and a patient-satisfaction scale. The secondary outcome was the change score of the UDI-6, IIQ-7, ICIQ-SF and OAB-q SF questionnaires from baseline to final visit. At 2 months follow-up, 28 out of 60 patients (47%) with SUI symptoms and 20 out of 40 patients (50%) with OAB symptoms declared themselves cured. Considering cured and improved patients, the subjective cure rates were 68.3% (41/60) and 70% (28/40) for patients with SUI and OAB symptoms, respectively. The results of this study showed that the 3 Tesla electromagnetic chair may be an effective option for the treatment of UI.

摘要

功能性磁刺激(FMS)是一种基于磁感应的用于保守治疗尿失禁(UI)的新技术。它可诱导神经的可控去极化,从而导致盆底肌肉收缩和骶神经S2 - S4神经根的神经调节。本研究的目的是评估新型3特斯拉FMS椅对单纯性压力性尿失禁(SUI)患者和单纯性膀胱过度活动症(OAB)症状女性患者的疗效。在我们的泌尿妇科单元进行了一项前瞻性观察研究。所有纳入的患者均为连续的患有单纯性SUI或单纯性OAB症状并接受3特斯拉电磁椅治疗的女性。主要结局是通过PGI - I量表和患者满意度量表进行主观结局评估。次要结局是从基线到末次随访时UDI - 6、IIQ - 7、ICIQ - SF和OAB - q SF问卷的变化得分。在2个月的随访中,60例有SUI症状的患者中有28例(47%)和40例有OAB症状的患者中有20例(50%)宣称自己已治愈。考虑治愈和改善的患者,SUI和OAB症状患者的主观治愈率分别为68.3%(41/60)和70%(28/40)。本研究结果表明,3特斯拉电磁椅可能是治疗UI的一种有效选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b247/9145499/41e7e0662f9c/jcm-11-02805-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b247/9145499/7224fa17ab72/jcm-11-02805-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b247/9145499/41e7e0662f9c/jcm-11-02805-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b247/9145499/7224fa17ab72/jcm-11-02805-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b247/9145499/41e7e0662f9c/jcm-11-02805-g002.jpg

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J Clin Med. 2021 Nov 8;10(21):5210. doi: 10.3390/jcm10215210.
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Assessment of the Effectiveness of Pelvic Floor Muscle Training (PFMT) and Extracorporeal Magnetic Innervation (ExMI) in Treatment of Stress Urinary Incontinence in Women: A Randomized Controlled Trial.评估盆底肌肉训练(PFMT)和体外磁神经刺激(ExMI)治疗女性压力性尿失禁的有效性:一项随机对照试验。
Biomed Res Int. 2020 Jan 16;2020:1019872. doi: 10.1155/2020/1019872. eCollection 2020.
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J Clin Med. 2023 Nov 14;12(22):7075. doi: 10.3390/jcm12227075.
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Evaluation of Possible Side Effects in the Treatment of Urinary Incontinence with Magnetic Stimulation.评估磁刺激治疗尿失禁的潜在副作用。
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