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本文引用的文献

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Associations between visceral adipose index and stress urinary incontinence among US adult women: a cross-sectional study.美国成年女性内脏脂肪指数与压力性尿失禁的相关性:一项横断面研究。
World J Urol. 2023 Dec;41(12):3671-3678. doi: 10.1007/s00345-023-04667-7. Epub 2023 Nov 3.
2
Association between grip strength and stress urinary incontinence of NHANES 2011-2014.握力与 NHANES 2011-2014 型压力性尿失禁的相关性研究。
BMC Womens Health. 2023 Oct 3;23(1):521. doi: 10.1186/s12905-023-02628-1.
3
Electrical stimulation plus biofeedback improves urination function, pelvic floor function, and distress after reconstructive surgery: a randomized controlled trial.电刺激联合生物反馈改善重建术后排尿功能、盆底功能和生活困扰:一项随机对照试验。
Int J Colorectal Dis. 2023 Sep 11;38(1):226. doi: 10.1007/s00384-023-04513-7.
4
Oestrogen therapy for treating pelvic organ prolapse in postmenopausal women.雌激素治疗绝经后妇女盆腔器官脱垂。
Cochrane Database Syst Rev. 2023 Jul 11;7(7):CD014592. doi: 10.1002/14651858.CD014592.pub2.
5
Medium-Term Outcomes of Conservative and Surgical Treatments for Stress Urinary Incontinence: A Medicare Claims Analysis: Developed by the AUGS Payment Reform Committee.中短期保守治疗与手术治疗压力性尿失禁的结局比较:一项基于医疗保险索赔数据的分析:由 AUGS 支付改革委员会制定。
Urogynecology (Phila). 2023 Jun 1;29(6):536-544. doi: 10.1097/SPV.0000000000001362. Epub 2023 May 19.
6
The Efficacy and Safety of Acupuncture in Treating Stress Urinary Incontinence in Women from a Meta-Analysis of Four Randomized Controlled Trials.针刺治疗女性应激性尿失禁的疗效和安全性:四项随机对照试验的荟萃分析。
Arch Esp Urol. 2023 Feb;76(1):40-49. doi: 10.56434/j.arch.esp.urol.20237601.3.
7
Effect of vaginal energy-based treatment on female stress urinary incontinence: a systematic review and meta-analysis of randomized controlled trials.基于能量的阴道治疗对女性压力性尿失禁的影响:一项随机对照试验的系统评价和荟萃分析
World J Urol. 2023 Feb;41(2):405-411. doi: 10.1007/s00345-022-04247-1. Epub 2022 Dec 19.
8
Relationship between exposure to cadmium, lead, and mercury and the occurrence of urinary incontinence in women.镉、铅和汞暴露与女性尿失禁发生的关系。
Environ Sci Pollut Res Int. 2022 Sep;29(45):68410-68421. doi: 10.1007/s11356-022-20598-z. Epub 2022 May 11.
9
European Association of Urology Guidelines on the Diagnosis and Management of Female Non-neurogenic Lower Urinary Tract Symptoms. Part 1: Diagnostics, Overactive Bladder, Stress Urinary Incontinence, and Mixed Urinary Incontinence.欧洲泌尿外科学会女性非神经源性下尿路症状诊断与管理指南。第 1 部分:诊断、膀胱过度活动症、压力性尿失禁和混合性尿失禁。
Eur Urol. 2022 Jul;82(1):49-59. doi: 10.1016/j.eururo.2022.01.045. Epub 2022 Feb 23.
10
Application of estrogen for the treatment of stress urinary incontinence in mice.雌激素在治疗小鼠应激性尿失禁中的应用。
Arch Gynecol Obstet. 2022 Apr;305(4):1115-1125. doi: 10.1007/s00404-022-06435-1. Epub 2022 Feb 16.

女性压力性尿失禁保守治疗的全面综述:进展、疗效及未来方向

A comprehensive review of conservative therapies for female stress urinary incontinence: Advancements, efficacy, and future directions.

作者信息

Luo Can, Niu Xiaoyu

机构信息

Department of Gynecology and Obstetrics, West China Second Hospital, Sichuan University, Chengdu, China.

Key Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education, Chengdu, China.

出版信息

Curr Urol. 2025 Mar;19(2):84-89. doi: 10.1097/CU9.0000000000000270. Epub 2025 Jan 21.

DOI:10.1097/CU9.0000000000000270
PMID:40314017
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12042177/
Abstract

Pelvic floor dysfunction poses a significant challenge to women worldwide. Female urinary incontinence is one of the most prevalent types of pelvic floor dysfunctions, affecting at least 50% of females, particularly those who are pregnant or menopausal. Among the various urinary incontinence subtypes, stress urinary incontinence takes the lead, characterized by involuntary urine leakage during activities that increase intra-abdominal pressure, such as sneezing, coughing, laughing, or exercising. This comprehensive review explores the latest advancements and critical insights into conservative treatments for stress urinary incontinence. Stress urinary incontinence symptoms result in profound physical and psychological consequences for individuals and impose a substantial medical and economic burden on society; however, only 5%-10% seek professional help. This narrative review meticulously examines a spectrum of interventions, ranging from lifestyle modifications to emerging modalities, such as laser treatment and electroacupuncture.

摘要

盆底功能障碍给全球女性带来了重大挑战。女性尿失禁是最常见的盆底功能障碍类型之一,至少影响50%的女性,尤其是孕妇或绝经女性。在各种尿失禁亚型中,压力性尿失禁最为常见,其特征是在增加腹内压的活动(如打喷嚏、咳嗽、大笑或运动)期间出现不自主漏尿。本综述探讨了压力性尿失禁保守治疗的最新进展和关键见解。压力性尿失禁症状给患者带来了严重的身体和心理后果,并给社会带来了巨大的医疗和经济负担;然而,只有5%-10%的患者寻求专业帮助。本叙述性综述详细研究了一系列干预措施,从生活方式改变到新兴治疗方法,如激光治疗和电针治疗。