摘要
目的:单一的盆底电刺激或磁刺激治疗盆底功能障碍性疾病疗效有限,本研究拟探讨磁刺激联合射频治疗对轻中度盆腔器官脱垂(pelvic organ prolapse,POP)的疗效。方法:筛选中南大学湘雅三医院诊断为POP并完成治疗的患者,依据治疗方案不同分为2组:磁刺激治疗组(n=28)为完成磁刺激治疗的患者,联合治疗组(n=21)为完成磁刺激联合射频治疗的患者。比较2组治疗前后的盆腔器官脱垂定量分期法(pelvic organ prolapse quantitation,POPQ)结果、盆底肌肌力和盆底超声结果,治疗结束后3个月,采用POP-Q评价治疗方式的维持效果。结果:2组治疗后Aa、Ap、C点的POP-Q结果均优于治疗前,差异均有统计学意义(均P<0.05);治疗后联合治疗组Aa点POP-Q结果优于磁刺激治疗组,差异有统计学意义(P<0.05);联合治疗组在valsalva动作下盆底超声评估膀胱颈的位置高于磁刺激治疗组,差异有统计学意义(P<0.05);治疗结束后3个月,联合治疗组疗效持续性好于磁刺激治疗组,差异有统计学意义(P<0.01)。结论:磁刺激联合射频治疗的疗效优于单一的磁刺激治疗,且疗效更持久。
Objective: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 P<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(P<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(P<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(P<0.01).Conclusion:The combined treatment is more effective and has a longer lasting effect than single magnetic stimulation treatment.
作者
童瑶
李旭红
严文广
曾小玲
谢芬
黎晶晶
周艳华
TONG Yao;LI Xuhong;YAN Wenguang;ZENG Xiaoling;XIE Fen;LI Jingjing;ZHOU Yanhua(Department of Rehabilitation Medicine,Third Xiangya Hospital,Central South University,Changsha 410013,China)
出处
《中南大学学报（医学版）》
CAS
CSCD
北大核心
2023年第11期1696-1702,共7页
Journal of Central South University ：Medical Science
基金
湖南省自然科学基金(2021JJ31012)。
关键词
盆底超声
射频治疗
磁刺激
盆腔器官脱垂
pelvic floor ultrasound
radiofrequency therapy
magnetic stimulation
pelvic organ prolapse
