射频联合磁刺激对轻中度盆腔器官脱垂的影响
Effect of radiofrequency combined with magnetic stimulation on mild and moderate pelvic organ prolapse.
作者信息
Tong Yao, Li Xuhong, Yan Wenguang, Zeng Xiaoling, Xie Fen, Li Jingjing, Zhou Yanhua
机构信息
Department of Rehabilitation Medicine, Third Xiangya Hospital, Central South University, Changsha 410013, China.
出版信息
Zhong Nan Da Xue Xue Bao Yi Xue Ban. 2023 Nov 28;48(11):1696-1702. doi: 10.11817/j.issn.1672-7347.2023.230070.
OBJECTIVES
The efficacy of using a single electrical or magnetic stimulation for treating pelvic floor dysfunction is limited. This study aims to investigate the efficacy of radiofrequency combined with magnetic stimulation treatment for mild to moderate pelvic organ prolapse.
METHODS
Patients who completed the treatment in the Third Xiangya Hospital, Central South University were screened, and were divided into 2 groups based on different treatment plans. There were 28 patients who completed magnetic stimulation therapy (the magnetic stimulation therapy group) and 21 patients who completed radiofrequency combined with magnetic stimulation therapy (the combined treatment group). The pelvic organ prolapse quantitation (POP-Q), pelvic floor muscle strength, and pelvic floor ultrasound results were analyzed to assess the efficacy before and after the treatment in both groups, and the POP-Q results of 3 months after the treatment were used to evaluate the maintenance effect of the treatment mode.
RESULTS
The POP-Q evaluation results of Aa, Ap, and C points after the treatment in both groups were better than those before the treatment, with statistical significance (all <0.05). The Aa point POP-Q result of the combined treatment group was better than that of the magnetic stimulation therapy group, with statistical significance (<0.05). Pelvic floor ultrasound evaluation showed that the bladder neck position during the valsalva maneuver in the combined treatment group was higher than that in the magnetic stimulation treatment group, with statistical significance (<0.05). The persistence effect of the combined treatment group was long better than that of the magnetic stimulation treatment group, with significant statistical significance (<0.01).
CONCLUSIONS
The combined treatment is more effective and has a longer lasting effect than single magnetic stimulation treatment.
目的
单一电刺激或磁刺激治疗盆底功能障碍的疗效有限。本研究旨在探讨射频联合磁刺激治疗轻至中度盆腔器官脱垂的疗效。
方法
筛选在中南大学湘雅三医院完成治疗的患者，根据不同治疗方案分为2组。完成磁刺激治疗的患者28例（磁刺激治疗组），完成射频联合磁刺激治疗的患者21例（联合治疗组）。分析两组治疗前后的盆腔器官脱垂定量（POP-Q）、盆底肌肉力量及盆底超声结果以评估疗效，采用治疗后3个月的POP-Q结果评价治疗方式的维持效果。
结果
两组治疗后Aa、Ap及C点的POP-Q评估结果均优于治疗前，差异有统计学意义（均<0.05）。联合治疗组的Aa点POP-Q结果优于磁刺激治疗组，差异有统计学意义（<0.05）。盆底超声评估显示，联合治疗组在做瓦尔萨尔瓦动作时膀胱颈位置高于磁刺激治疗组，差异有统计学意义（<0.05）。联合治疗组的维持效果明显优于磁刺激治疗组，差异有统计学意义（<0.01）。
结论
联合治疗比单一磁刺激治疗更有效且效果更持久。
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